흡수성 suture-anchor를 이용한 견관절 전방 불안정성의 재건술

Kim Seung-Ki;Song In-Soo;Seo Hyun Mo;Moon Myung-Sang;Lin Guang

  • 발행 : 2004.12.01


Purpose: The purpose of this study is to evaluate the short-term clinical outcome of the capsulolabral repair using absorbable suture anchor in traumatic anterior instability of shoulder. Materials and Methods: From June 2000 to September 2001, 15 shoulders with recurrent anterior instability were operated with arthroscopic Bankart repair using absorbable suture-anchor 'PANALOK' (Mitek, westwood, MA), and were followed up over 1 year (average; 13 months). The mean age was 23-years. There were fourteen males and one female. The mean duration from the initial symptoms to the operation was 24 months. Associated pathologies were Hill-Sachs defect in 12 cases, SLAP in 6 cases, and partial rotator cuff tear in 2 cases. The results were evaluated by patien's satisfaction, Modified Rowe Score in regard to joint stability, mobility, pain and function in comparison with the preoperative ones, and other complications. Results: At the last follow-up, the total Rowe Score increased from 38 points to 92 points. There were no recurrence and 14 patients among 15 patients gained pre-operative level of sports activity and no other complications. Conclusion: Effective capsulolabral repair could be obtained by the absorbable anchoring without any untoward complications. This procedure is simple and safe one and this system can be a good substitute for the metallic anchor.


Shoulder;Anterior instability;Absorbable suture anchor


  1. Aalders GJ, Van Vroonhoven TJMV, Van Der Werken C and Wijffels CCSM: An exceptional case of pneumothorax- 'A new adventure of the K wire.' Injury. J Bone Joint Surg, 16: 564-565, 1985.
  2. Artz T and Huffer JM: A major complication of the modified Bristow procedure for recurrent dislocation of the shoulder. A case report. J Bone Joint Surg Am, 54:1293-1296, 1972.
  3. Barber FA, Cawley P and Prudich JF.: Suture anchor failure strength: An in vivo study. Arthroscopy, 9:647-652, 1993.
  4. Barber FA and Herbert MA: Suture Anchors-Update 1999. Arthroscopy, 15(7):719-725, 1999.
  5. Barber FA, Herbert MA and Click JN: The ultimate strength of suture anchors. Arthroscopy, 11:21-28,1995.
  6. Berg EE and Oglesby JW: Loosening of a biodegradable shoulder staple. J Shoulder Elbow Surg, 5:76-78, 1996.
  7. Bostman OM: Intense granulomatous inflammatory lesion associated with absorbable internal fixation devices made of polyglycolide in ankle fractures. Clin Orthop, 278:178-199, 1992.
  8. Cheng JC, Wolf EM, Chapman JE and Johnston JO: Pigmented villonodular synovitis of the shoulder after anterior capsulolabral reconstruction. Arthroscopy, 13:257-261,1997.
  9. Dameron TB Jr: Complications of treatment of injuries to the shoulder. In: Epps CH Jr, ed. Complications in orthopaedic surgery. Ed 2. Philadelphia: JB Lippincott, 249, 1986.
  10. Disegi JA and Wyss H: Implant materials for fracture fixation: A clinical perspective. Orthopedics, 12:75-79, 1989.
  11. Edwards DJ, Hoy G, Saies AD and Hayes MG: Adverse reactions to an absorbable shoulder fixation device. J Shoulder Elbow Surg, 3:230-233, 1994.
  12. Fraser RK and Cole WG: Osteolysis after biodegradable pin fixation of fractures in children. J Bone Joint Surg Br, 74: 929-930, 1992.
  13. Hollinger JO and Battistone GC: Biodegradable bQne repair materials synthetic polymers and ceramics. Clin Orthop, 207: 290-305, 1986.
  14. Lyons FA and Rockwood CA Jr.: Current concepts review: Migration of pins used in operations on the shoulder. J Bone Joint Surg Am, 72: 1262-1267, 1990.
  15. Pihlajamai H, Kinnunen J and Botman O: In vivo monitoring of the degradation process of bioresorbable polymeric implants using magnetic resonance imaging. Biomaterials, 18:1311-1315, 1997.
  16. Rehm KE, Helling HJ and Claes LE: Biologisch abbaubare Osteosynthesematerialien. In: Bute H, Jungiger T, eds. Jahrbuch der Chirurgie. Zupich, Germany: Biermann Verlag, 223-232, 1989.
  17. Rowe CR, Patel D and Southmayad WW: The Bankart procedure: A long-term end-result study. J Bone Joint surg, 60A:1-16, 1978.
  18. Shellock FG, Mink JH, Curtin S and Friedman MJ: MR imaging and metallic implants for anterior cruciate ligament reconstruction: Assessment of ferromagnetism and artifact. J Magn Reson Imaging, 2:225-228, 1992.
  19. Weber SC, Abrams JS and Nottage WM: Complications associated with arthroscopic shoulder surgery. Arthroscopy, 18(2), 2002.
  20. Weiler A, Hoffmann RFG, Stahelin AC, Helling HJ and Sudkamp NP: Biodegradable Implants in Sports Medicine: The Biological Base. Arthroscopy, 16(3):305-321, 2000.
  21. Wetzler JJ, Bartolozzi AR and Gillespie MJ: Fatigue properties of suture anchors in anterior shoulder reconstructions: Mitek GII. Arthroscopy, 6:687-693, 1996.
  22. Zuckerman JD and Matsen FA III.: Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am, 66:175-180,1984.