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Open Orthop J. 2014 Dec 29;8:457-61. doi: 10.2174/1874325001408010457. eCollection 2014.

"8 plate": an alternative device to fix highly recurrent traumatic anterior gleno-humeral instability in patients with severe impairment of the anterior capsule.

C T1, S B1, E S2, E I1.

Author information

1
Department of Orthopaedic Surgery, University of Rome Tor Vergata, 81 Oxford Street, 00133 Rome, Italy.
2
Department of Orthopaedic Surgery, San Carlo Hospital, Potito Petrone Steet, 85100, Potenza, Italy.

Abstract

BACKGROUND:

There is still debate about the best treatment option for highly recurrent anterior shoulder dislocation in patients with severe impairment of the anterior capsule and/or recurrence after either arthroscopic or open capsulorrhaphy. Materials and.

METHODS:

The clinical and radiological findings of 7 patients treated with an open capsulorrhaphy stabilized with an "8 plate" for a highly recurrent traumatic anterior shoulder dislocation with severe impairment of the anterior capsule and a large Bankart lesion were retrospectively reviewed. Follow-up evaluation included VAS for pain, Constant-Murley, Simple Shoulder Test, ASES, UCLA, Quick DASH, Rowe, Walsch-Duplay scores, as well as X-rays of the operated shoulder.

RESULTS:

At follow-up none of the patients reported subsequent dislocations. Range of motion of the shoulder was complete in all cases, but one. Results of the functional scoring systems were satisfactory. X-rays showed no osteolysis and good position of the plate.

CONCLUSION:

To our knowledge, this is the first report in the literature about an open capsular tensioning and Bankart lesion repair performed with an "8 plate". We believe that this is a reliable and effective procedure to address traumatic anterior re-dislocation of the gleno-humeral joint when the capsule is extensively torn and frayed or in revision cases. Moreover the "8 plate" is ideal to be applied in such a narrow space on the slant surface of the scapular neck close to the glenoid rim.

KEYWORDS:

8 plate; bankart lesion; open capsulorrhaphy; shoulder dislocation.

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