“8 Plate”: An Alternative Device to Fix Highly Recurrent Traumatic Anterior Gleno-Humeral Instability in Patients with Severe Impairment of the Anterior Capsule
C. Tudisco*, 1, S. Bisicchia1, E. Savarese2, E. Ippolito1
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
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.
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.
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.
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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* Address correspondence to this author at the Department of Orthopaedic Surgery, University of Rome Tor Vergata, 81 Oxford Street, 00133 Rome, Italy; Tel: +39 06 2090 3468; Fax: +39 06 2090 3847;