Clinical Outcomes of an Improved Arthroscopic Suture‐Bridge Technique Assisted by a “5 O'clock” Portal for Acute Bony Bankart Lesions
6 affiliations
- 1Department of Orthopedic Surgery, Qingdao Municipal Hospital Qingdao University Qingdao China
- 2Central Laboratories, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences Qingdao China
- 3Department of Sports Medicine The Affiliated Hospital of Qingdao University Qingdao Shandong China
- 4Department of Orthopedics Affiliated Hospital of Qingdao University Qingdao China
- 5Traumatic Orthopedics Institute of Shandong, Affiliated Hospital of Qingdao University Qingdao China
- 6Department of Orthopedic Surgery, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences Qingdao China
Abstract
Purpose: Bony Bankart lesion is a primary cause of traumatic shoulder instability. Although the arthroscopic suture bridge technique has been applied clinically, its operative complexity remains a challenge. This study aimed to evaluate the mid‐term clinical and radiological efficacy of a modified suture bridge technique combined with anchor insertion through a “5 o'clock” accessory portal for treating acute bony Bankart lesions.
Methods: This study retrospectively analyzed 36 patients with acute bony Bankart lesions who underwent the modified surgical treatment between January 2019 and February 2023. All patients were followed up for at least 2 years. Preoperative and final follow‐up assessments included VAS, Constant‐Murley, ASES, UCLA, and Rowe scores, as well as shoulder range of motion (ROM). Statistical analysis was performed using paired t‐tests to compare preoperative and postoperative clinical scores and ROM. Fracture reduction and healing were assessed via CT 3D reconstruction at 6 months postoperatively.
Results: The mean follow‐up period was 28.8 months. At the final follow‐up, all clinical functional scores and ROM showed significant improvement compared to the preoperative status (p < 0.001). CT 3D reconstruction at 6 months postoperatively showed successful reduction of the fracture fragment in all patients. The mean glenoid bone loss decreased from 18.2% ± 6.5% preoperatively to 2.5% ± 1.5% at follow‐up (p < 0.001). The fracture healing rate was 97.2%. Eighty percent of patients successfully returned to a pre‐injury or higher level of sport. The redislocation rate was 2.8%, and the total complication rate was 5.6%.
Conclusion: The modified suture‐bridge technique using a “5 o'clock” accessory portal is a reliable and reproducible method for treating acute bony Bankart lesions. This approach achieves anatomical fracture reduction and yields excellent mid‐term clinical and radiological outcomes with a low risk of complications.
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BibTeX
@article{jiang2026clinical,
title = {{Clinical Outcomes of an Improved Arthroscopic Suture‐Bridge Technique Assisted by a “5 O'clock” Portal for Acute Bony Bankart Lesions}},
author = {Fan Jiang and Qing Yang and Chao Qi and Yi Zhang and Jinlong Ma and Tengbo Yu and Youliang Shen},
journal = {Orthopaedic Surgery},
year = {2026},
month = oct,
doi = {10.1111/os.70381},
url = {https://doi.org/10.1111/os.70381},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Clinical Outcomes of an Improved Arthroscopic Suture‐Bridge Technique Assisted by a “5 O'clock” Portal for Acute Bony Bankart Lesions
AU - Fan Jiang
AU - Qing Yang
AU - Chao Qi
AU - Yi Zhang
AU - Jinlong Ma
AU - Tengbo Yu
AU - Youliang Shen
PY - 2026
DA - 2026/10/01
JO - Orthopaedic Surgery
DO - 10.1111/os.70381
UR - https://doi.org/10.1111/os.70381
AB - Purpose: Bony Bankart lesion is a primary cause of traumatic shoulder instability. Although the arthroscopic suture bridge technique has been applied clinically, its operative complexity remains a challenge. This study aimed to evaluate the mid‐term clinical and radiological efficacy of a modified suture bridge technique combined with anchor insertion through a “5 o'clock” accessory portal for treating acute bony Bankart lesions. Methods: This study retrospectively analyzed 36 patients with acute bony Bankart lesions who underwent the modified surgical treatment between January 2019 and February 2023. All patients were followed up for at least 2 years. Preoperative and final follow‐up assessments included VAS, Constant‐Murley, ASES, UCLA, and Rowe scores, as well as shoulder range of motion (ROM). Statistical analysis was performed using paired t‐tests to compare preoperative and postoperative clinical scores and ROM. Fracture reduction and healing were assessed via CT 3D reconstruction at 6 months postoperatively. Results: The mean follow‐up period was 28.8 months. At the final follow‐up, all clinical functional scores and ROM showed significant improvement compared to the preoperative status (p < 0.001). CT 3D reconstruction at 6 months postoperatively showed successful reduction of the fracture fragment in all patients. The mean glenoid bone loss decreased from 18.2% ± 6.5% preoperatively to 2.5% ± 1.5% at follow‐up (p < 0.001). The fracture healing rate was 97.2%. Eighty percent of patients successfully returned to a pre‐injury or higher level of sport. The redislocation rate was 2.8%, and the total complication rate was 5.6%. Conclusion: The modified suture‐bridge technique using a “5 o'clock” accessory portal is a reliable and reproducible method for treating acute bony Bankart lesions. This approach achieves anatomical fracture reduction and yields excellent mid‐term clinical and radiological outcomes with a low risk of complications.
SN - 1757-7853
SN - 1757-7861
ER -