Clinical application of Fastpass Scorpion suture passer for arthroscopic Bankart repair_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHENG Wuyuan ¹ ,  ZHENG Jiapeng ² , LIN Dasheng ² , XIE Yibo ¹ , XU Weikai ¹ , WU Qingquan ² , XIAO Qi ² , DENG Huiyun ² , JIANG Huixiang ² , FENG Guodong ²

1. Department of Joint Surgery, the Marine Corps Hospital of Chinese PLA, Chaozhou Guangdong, 521000, P. R. China;
2. Orthopaedic Center of Chinese PLA, the 909th Hospital of Chinese PLA (Southeast Hospital Affiliated to Xiamen University), Zhangzhou Fujian, 363000, P. R. China;

Corresponding?author：

ZHENG Jiapeng, Email: zhjiapeng@126.com

Keywords：

Fastpass Scorpion suture passer; suture shuttle; Bankart repair; inferior capsulolabral complex; arthroscopy

DOI：

10.7507/1002-1892.202301046

Video：

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Objective To explore the effectiveness and advantages of using Fastpass Scorpion suture passer to stitch the inferior capsulolabral complex in arthroscopic Bankart repair compared with traditional arthroscopic suture shuttle. Methods The clinical data of 41 patients with Bankart lesion, who met the selection criteria and were admitted between August 2019 and October 2021, was retrospectively analyzed. Under arthroscopy, the inferior capsulolabral complex was stitched with Fastpass Scorpion suture passer in 27 patients (FS group) and with arthroscopic suture shuttle in 14 patients (ASS group). There was no significant difference between the two groups (P>0.05) in gender, age, injured side, frequency of shoulder dislocation, time from first dislocation to operation, and preoperative Rowe score of shoulder. Taking successful suture and pull-tightening as the criteria for completion of repair, the number of patients that were repaired at 5∶00 to 6∶00 (<6:00) and 6∶00 to 7∶00 positions of the glenoid in the two groups was compared. The operation time, and the difference of Rowe shoulder score betwee pre- and post-operation, the occurrence of shoulder joint dislocation, the results of apprehension test, and the constituent ratio of recovery to the pre-injury movement level between the two groups at 1 year after operation. Results Both groups completed the repair at 5∶00 to 6∶00 (<6∶00), and the constituent ratio of patients completed at 6∶00 to 7∶00 was significantly greater in the FS group than in the ASS group (P<0.05). The operation time was significantly shorter in the FS group than in the ASS group (P<0.05). All incisions in the two groups healed by first intention. All patients were followed up 12-36 months (mean, 19.1 months). No anchor displacement or neurovascular injury occurred during follow-up. Rowe score of shoulder in the two groups significantly improved at 1 year after operation than preoperative scores (P<0.05), and there was no significant difference in the difference of Rowe shoulder score between pre- and post-operation between the two groups (P>0.05). At 1 year after operation, no re-dislocation occurred, and there was no significant difference in the apprehension test and the constituent ratio of recovery to the pre-injury movement level between the two groups (P>0.05). Conclusion Compared with the arthroscopic suture shuttle, using Fastpass Scorpion suture passer to stitch the inferior capsulolabral complex in arthroscopic Bankart repair is more convenient, saves operation time, and has good effectiveness.

Citation： ZHENG Wuyuan, ZHENG Jiapeng, LIN Dasheng, XIE Yibo, XU Weikai, WU Qingquan, XIAO Qi, DENG Huiyun, JIANG Huixiang, FENG Guodong. Clinical application of Fastpass Scorpion suture passer for arthroscopic Bankart repair. Chinese Journal of Reparative and Reconstructive Surgery, 2023, 37(5): 538-544. doi: 10.7507/1002-1892.202301046 Copy

1.	Bliven KCH, Parr GP. Outcomes of the Latarjet procedure compared with Bankart repair for recurrent traumatic anterior shoulder instability. J Athl Train, 2018, 53(2): 181-183.
2.	Rashid MS, Arner JW, Millett PJ, et al. The Bankart repair: past, present, and future. J Shoulder Elbow Surg, 2020, 29(12): e491-e498.
3.	Hurley ET, Manjunath AK, Bloom DA, et al. Arthroscopic Bankart repair versus conservative management for first-time traumatic anterior shoulder instability: A systematic review and meta-analysis. Arthroscopy, 2020, 36(9): 2526-2532.
4.	AlSomali K, Kholinne E, Van Nguyen T, et al. Outcomes and return to sport and work after open bankart repair for recurrent shoulder instability: A systematic review. Orthop J Sports Med, 2021, 9(10): 23259671211026907. doi:10.1177/23259671211026907.
5.	MacDonald P, McRae S, Old J, et al. Arthroscopic Bankart repair with and without arthroscopic infraspinatus Remplissage in anterior shoulder instability with a Hill-Sachs defect: a randomized controlled trial. J Shoulder Elbow Surg, 2021, 30(6): 1288-1298.
6.	梁達強, 丘志河, 柳海峰, 等. 肩關節前向脫位及合并損傷的手術治療進展. 中國修復重建外科雜志, 2019, 33(6): 768-773.
7.	傅凱, 張雨, 蔣青, 等. 肩關節鏡下單枚帶線錨釘固定治療新鮮骨性Bankart損傷. 中國修復重建外科雜志, 2022, 36(5): 582-586.
8.	Memon M, Kay J, Cadet ER, et al. Return to sport following arthroscopic Bankart repair: a systematic review. J Shoulder Elbow Surg, 2018, 27(7): 1342-1347.
9.	Tan YB, Puah KL, Wah Chong RW, et al. Return to sport and patient satisfaction after arthroscopic Bankart repair: a single-institution experience. Singapore Med J, 2022, 63(8): 433-438.
10.	Bottoni CR, Johnson JD, Zhou L, et al. Arthroscopic versus open anterior shoulder stabilization: A prospective randomized clinical trial with 15-year follow-up with an assessment of the glenoid being “on-track” and “off-track” as a predictor of failure. Am J Sports Med, 2021, 49(8): 1999-2005.
11.	De Carli A, Vadalà AP, Lanzetti R, et al. Early surgical treatment of first-time anterior glenohumeral dislocation in a young, active population is superior to conservative management at long-term follow-up. Int Orthop, 2019, 43(12): 2799-2805.
12.	Gao B, DeFroda S, Bokshan S, et al. Arthroscopic versus open Bankart repairs in recurrent anterior shoulder instability: A systematic review of the association between publication date and postoperative recurrent instability in systematic reviews. Arthroscopy, 2020, 36(3): 862-871.
13.	李焱, 馬林, 楊明宇, 等. 關節鏡下垂直褥式縫合關節囊治療肩關節復發性前脫位合并關節松弛癥的早期臨床療效. 中國修復重建外科雜志, 2020, 34(11): 1392-1398.
14.	高玉鐳, 亓文靜, 康一凡, 等. 肩關節鏡下單排錨釘固定聯合盂肱中韌帶加強修復治療Bankart損傷的療效分析. 中國骨與關節損傷雜志, 2019, 34(5): 479-481.
15.	Yamamoto N, Kawakami J, Hatta T, et al. Effect of subcritical glenoid bone loss on activities of daily living in patients with anterior shoulder instability. Orthop Traumatol Surg Res, 2019, 105(8): 1467-1470.
16.	Bokshan SL, DeFroda SF, Gil JA, et al. The 6-o’clock anchor increases labral repair strength in a biomechanical shoulder instability model. Arthroscopy, 2019, 35(10): 2795-2800.
17.	Itoigawa Y, Sperling JW, Steinmann SP, et al. Anchor placement to glenoid rim during Bankart repair recreates contact area of anterior capsulolabral complex on glenoid better than onto articular surface. Eur J Orthop Surg Traumatol, 2020, 30(7): 1257-1262.
18.	Kang Y, Wang L, Wang M, et al. Bankart repair with transferred long head of the biceps provides better biomechanical effect than conjoined tendon transfer in anterior shoulder instability with 20% glenoid defect. Arthroscopy, 2022, 38(9): 2628-2635.
19.	Buckley A, Wong I. Arthroscopic Bankart repair with inferior to superior capsular shift in lateral decubitus position. Arthrosc Tech, 2021, 10(1): e145-e150.
20.	Lu M, Li HP, Liu YJ, et al. Scapular bone grafting with allograft pin fixation for repair of bony Bankart lesions: A biomechanical study. World J Clin Cases, 2021, 9(32): 9783-9791.

1. Bliven KCH, Parr GP. Outcomes of the Latarjet procedure compared with Bankart repair for recurrent traumatic anterior shoulder instability. J Athl Train, 2018, 53(2): 181-183.
2. Rashid MS, Arner JW, Millett PJ, et al. The Bankart repair: past, present, and future. J Shoulder Elbow Surg, 2020, 29(12): e491-e498.
3. Hurley ET, Manjunath AK, Bloom DA, et al. Arthroscopic Bankart repair versus conservative management for first-time traumatic anterior shoulder instability: A systematic review and meta-analysis. Arthroscopy, 2020, 36(9): 2526-2532.
4. AlSomali K, Kholinne E, Van Nguyen T, et al. Outcomes and return to sport and work after open bankart repair for recurrent shoulder instability: A systematic review. Orthop J Sports Med, 2021, 9(10): 23259671211026907. doi:10.1177/23259671211026907.
5. MacDonald P, McRae S, Old J, et al. Arthroscopic Bankart repair with and without arthroscopic infraspinatus Remplissage in anterior shoulder instability with a Hill-Sachs defect: a randomized controlled trial. J Shoulder Elbow Surg, 2021, 30(6): 1288-1298.
6. 梁達強, 丘志河, 柳海峰, 等. 肩關節前向脫位及合并損傷的手術治療進展. 中國修復重建外科雜志, 2019, 33(6): 768-773.
7. 傅凱, 張雨, 蔣青, 等. 肩關節鏡下單枚帶線錨釘固定治療新鮮骨性Bankart損傷. 中國修復重建外科雜志, 2022, 36(5): 582-586.
8. Memon M, Kay J, Cadet ER, et al. Return to sport following arthroscopic Bankart repair: a systematic review. J Shoulder Elbow Surg, 2018, 27(7): 1342-1347.
9. Tan YB, Puah KL, Wah Chong RW, et al. Return to sport and patient satisfaction after arthroscopic Bankart repair: a single-institution experience. Singapore Med J, 2022, 63(8): 433-438.
10. Bottoni CR, Johnson JD, Zhou L, et al. Arthroscopic versus open anterior shoulder stabilization: A prospective randomized clinical trial with 15-year follow-up with an assessment of the glenoid being “on-track” and “off-track” as a predictor of failure. Am J Sports Med, 2021, 49(8): 1999-2005.
11. De Carli A, Vadalà AP, Lanzetti R, et al. Early surgical treatment of first-time anterior glenohumeral dislocation in a young, active population is superior to conservative management at long-term follow-up. Int Orthop, 2019, 43(12): 2799-2805.
12. Gao B, DeFroda S, Bokshan S, et al. Arthroscopic versus open Bankart repairs in recurrent anterior shoulder instability: A systematic review of the association between publication date and postoperative recurrent instability in systematic reviews. Arthroscopy, 2020, 36(3): 862-871.
13. 李焱, 馬林, 楊明宇, 等. 關節鏡下垂直褥式縫合關節囊治療肩關節復發性前脫位合并關節松弛癥的早期臨床療效. 中國修復重建外科雜志, 2020, 34(11): 1392-1398.
14. 高玉鐳, 亓文靜, 康一凡, 等. 肩關節鏡下單排錨釘固定聯合盂肱中韌帶加強修復治療Bankart損傷的療效分析. 中國骨與關節損傷雜志, 2019, 34(5): 479-481.
15. Yamamoto N, Kawakami J, Hatta T, et al. Effect of subcritical glenoid bone loss on activities of daily living in patients with anterior shoulder instability. Orthop Traumatol Surg Res, 2019, 105(8): 1467-1470.
16. Bokshan SL, DeFroda SF, Gil JA, et al. The 6-o’clock anchor increases labral repair strength in a biomechanical shoulder instability model. Arthroscopy, 2019, 35(10): 2795-2800.
17. Itoigawa Y, Sperling JW, Steinmann SP, et al. Anchor placement to glenoid rim during Bankart repair recreates contact area of anterior capsulolabral complex on glenoid better than onto articular surface. Eur J Orthop Surg Traumatol, 2020, 30(7): 1257-1262.
18. Kang Y, Wang L, Wang M, et al. Bankart repair with transferred long head of the biceps provides better biomechanical effect than conjoined tendon transfer in anterior shoulder instability with 20% glenoid defect. Arthroscopy, 2022, 38(9): 2628-2635.
19. Buckley A, Wong I. Arthroscopic Bankart repair with inferior to superior capsular shift in lateral decubitus position. Arthrosc Tech, 2021, 10(1): e145-e150.
20. Lu M, Li HP, Liu YJ, et al. Scapular bone grafting with allograft pin fixation for repair of bony Bankart lesions: A biomechanical study. World J Clin Cases, 2021, 9(32): 9783-9791.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical application of Fastpass Scorpion suture passer for arthroscopic Bankart repair

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