AANA19 Shoulder Access Pass-Biomechanical Comparison of Single- and Double-Row Repair Techniques for Acute Bony Bankart Lesions-Dr. Ilya Voloshin, M.D.

Biomechanical Comparison of Single- and Double-Row Repair Techniques for Acute Bony Bankart Lesions-Dr. Ilya Voloshin, M.D.

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Video Summary

The presentation discussed biomechanical testing of bony Bankart lesion repairs using single and double row suture techniques. Testing on cadaveric shoulders showed double row fixation provided greater stability under concavity compression forces, reducing fragment displacement compared to single row. However, double row repair caused significantly more cartilage damage on the humeral head due to increased suture contact. While biomechanically superior, double row fixation raises concerns about joint cartilage injury. The speaker highlighted the need for novel arthroscopic methods that avoid sutures on articular cartilage to minimize damage, suggesting that current techniques, though effective, have limitations and room for improvement.

Keywords

bony Bankart lesion

single row suture

double row suture

biomechanical testing

cartilage damage