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J Surg Orthop Adv ; 23(3): 155-61, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25153814

RESUMEN

To examine whether anchors used in arthroscopic Bankart repair increased the risk of subsequent fracture, six intact polyurethane scapulae and six with three 3.0-mm suture anchors placed along the anteroinferior glenoid were compared. An axial load of 1 mm/s was applied to the anteroinferior glenohumeral joint with a prosthetic humeral head. Outcome measures were force needed for initial fracture and catastrophic failure, percent of anterior glenoid bone loss, and fracture length. With the numbers available, no significant differences could be detected between groups in yield load or maximum load. The anchor group had a significantly larger percentage of bone loss (p < .01) and fracture length (p < .01) compared to the intact group. In this study, anchors did not decrease force needed to fracture but did lead to significantly larger fractures of the anterior glenoid during a simulated dislocation event. Further study using various anchors and techniques is warranted.


Asunto(s)
Artroscopía/efectos adversos , Fracturas Óseas/etiología , Cavidad Glenoidea/lesiones , Luxación del Hombro/cirugía , Anclas para Sutura/efectos adversos , Adolescente , Adulto , Resorción Ósea , Fracturas Óseas/patología , Fracturas Óseas/cirugía , Cavidad Glenoidea/patología , Cavidad Glenoidea/cirugía , Humanos , Inestabilidad de la Articulación/etiología , Inestabilidad de la Articulación/cirugía , Masculino , Modelos Biológicos , Recurrencia , Reoperación , Estudios Retrospectivos , Articulación del Hombro/cirugía , Soporte de Peso , Adulto Joven
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