RESEARCH ARTICLE


“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


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© Tudisco et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* 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; E-mail: cosimo.tudisco@uniroma2.it


Abstract

Background:

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. Materials and

Methods:

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.

Results:

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.

Conclusion:

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.