الفهرس 
Arthroscopic bankart repair using double loaded knotted suture anchor versus arthroscopic bankart repair using double loaded grand knot technique
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Abstract
Introduction:The optimal method for surgical management of Bankart lesion remains controversial, while anatomical repair of Bankart lesion and restoring the tension of the antero-inferior glenohumeral ligament complex is the main method for surgical treatment.The use two double loaded anchors can give resistance to failure at least equal to the use of three single loaded anchors. Grand knot technique which is a modification of trans-glenoid suture technique that can be used for Bankart repair with lower cost.Patient and methods: Our study was done on 40 patients in with at least one year follow up period to compare arthroscopic Bankart repair using double loaded knotted suture anchor versus arthroscopic Bankart repair using double loaded grand knot technique with recurrent anterior gleno-humeral dislocation. Two double loaded anchors were used for half of patients to arthroscopically repair Bankart lesion.Two double loaded grand knots had been used for the other half of patients. Patients were 39 males and one female with a mean age 33.5 years (ranged from19 to 48 years). Detailed history was taken and full physical examination was done for all patients. Patients were assessed with three different outcome measurement tool (Constant, Rowe and ASES Scores) pre and post operatively. Results: There was statistically significant difference in improvement of forward flexion, external rotation at side, and external rotation at 90r between pre-operative and postoperative in the grand knot group and the anchor group.There was no statistically significant difference between the mean post-operative scores Rowe, Constant, and ASES for patients who underwent anchor repair operation, and patients who underwent grand knot operation. Incidence of recurrence was 10% of anchor group and 15% of grand knot group with no statistically significant difference