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Modification of the Bankart reconstruction with a suture anchor

Report of a new technique

Department of Orthopaedic Surgery, New England Medical Center Hospital, Tufts University School of Medicine, Boston, Massachusetts

William R. Donaldson, MD

Department of Orthopaedic Surgery, New England Medical Center Hospital, Tufts University School of Medicine, Boston, Massachusetts

Freddie Fu, MD

Department of Orthopaedic Surgery, Presbyterian Hospital, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Christopher D. Harner, MD

Department of Orthopaedic Surgery, Presbyterian Hospital, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

We assessed the effectiveness of a new suture anchor that has been designed to anchor sutures into a blind, straight hole drilled in bone. The strength of fixation in glenoid bone is 67 N for the No. 0 anchor and suture, and 82 N for the No. 2 device with suture. During 1988 and 1989, 32 patients underwent a modified Bankart reconstruction for recurrent anterior glenohumeral in stability at two centers as part of a prospective study of this modified technique. There were no complications as a result of the technique. The four surgeons involved agreed that the suture anchor simplified the procedure. Seventeen patients have been reviewed, with more than 1 year followup. Ninety-four percent had good to excellent results according to the Bankart rating scale. There was one recurrent dislocation in a football player.

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