Modified transglenoid bankart repair for treatment of recurrent traumatic anterior shoulder dislocation (long-term results)

Background
Bankart lesion is the most common fixed pathology in recurrent traumatic anterior shoulder instability. Modified transglenoid sutures was used with excellent short-term results.
Objectives
The aim of this study was to report the long-term results of the modified transglenoid sutures as regard stability (either dislocation or subluxation), suprascapular nerve affection, scapular muscle affection, suture material and knot problems, and infection related to the procedure.
Patients and methods
33 patients, 29 (87.9%) males and 4 (12.1%) females, were available for long-term follow-up (range between 5 to 11 years). All patients were treated by 2-4 transglenoid sutures and followed-up for more than 5 years according to Rowe score, instability, postoperative infection, scar problem, suprascapular nerve affection, apprehension test for anterior dislocation or subluxation or limitation of shoulder movement.
Results
According to the Rowe score, 27 (81.8%) patients were excellent and good results (score more than 75) while there were 6 (18.2%) patients fair and poor results less than 75 points. One patient suffered shoulder dislocation, two patients suffered subluxation, and one patient postoperative infection. Two (6%) patients only needed second operation.
Conclusion
The transglenoid sutures modified by using nonabsorbable suture material (Ethibond no 5) and passing through two holes in the glenoid, showed good long-term results for treatment of recurrent traumatic anterior shoulder instability.