Der Unfallchirurg
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The aim of this study was to evaluate the results after open Bankart repair using suture anchors in patients with recurrent posttraumatic anterior shoulder instability. Some 32 patients were prospectively observed for a mean of 40 months (24-60) after stabilization. The mean age at the time of operation was 29.7 years. ⋯ Two patients (6.3%) developed recurrent instability 6-24 months postoperatively; 93.7% were not or only slights limited in sports activities. Bankart repair is an excellent treatment for recurrent posttraumatic anterior shoulder instability. The use of suture anchors is an appropriate way of reattaching the capsuloligamentous complex to the glenoid to restore stability to an unstable joint.
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Comparative Study
[Particular posteromedial and posterolateral approaches for the treatment of tibial head fractures].
Tibial plateau fractures with depression of posterior aspects of the proximal tibia cause significant therapeutic problems. Posterior fractures on the medial side are mainly highly instable fracture-dislocations (Moore type I). Posterolateral fractures usually cause massive depression and destruction of the chondral surface. ⋯ Five of the 26 cases had revision surgery: 3 patients developed valgus or retrocurvatum deformity and were successfully treated by an osteotomy. They obtained a good result at follow-up. Two fractures in elderly patients were revised to an endoprosthesis.