Functional and clinical outcome of arthroscopic versus mini-open bankart repair in anterior shoulder instability

Abstract

Objective: This study was designed to evaluate and compare the functional and clinical outcome of Arthroscopic and Mini-open Bankart repair method: This is a cross sectional study. 15 patient are selected using universal sampling and agree to participate in the study. Out of this number 7 patients from Mini-open group and 8 from Arthroscopic group were evaluated for the functional outcome with SF-36, Rowe Score and Visual Analogue Score at 1 year post operative. Range of motion of the affected shoulder were assessed and compared with normal shoulder.Result: All patient were male. 2 (13.3%) patient had dislocation less than 5 times, 10 (66.6%) had dislocation 5 to 10 times and 3 (20%) had dislocation more than 10 times. All patient had dislocation over the dominant upper limb. The mean score SF-36 for Physical function were 90 in Arthroscopic group and 86 in Mini-open group. The mean Range of Motion of affected shoulder in Arthroscopic group were 163.75 degree for abduction, 171.25 degree for foward flexion, 72.5 degree for external rotation and 80 degree for internal rotation. In Mini-open group, the mean range of motion were 171.43 for abduction, 177.18 degree for foward flexion, 73.53 degree for external rotation and 70 degree for internal rotation. The mean Rowe score for Arthroscopic group were 93.13 and 89.29 in Mini-open group. The mean Visual analogue score for Arthroscopic group were 0.88 and in Mini-open group were 0.71. There was no recurrent dislocation or instability in both group. There were no significant relationship in all of the score and range of motion. Conclusion: The functional and clinical outcome of Arthroscopic and Mini-open Bankart repair are comparable in both group.