When treating shoulders with a Bankart lesion that includes an osseous fragment, many orthopaedic surgeons excise the fragment while repairing the capsulolabral complex, and then deploy one of various bone-augmentation procedures to address glenoid bone loss. But in the November 18, 2015 issue of JBJS, Kitayama et al. report on positive medium- to long-term results with a procedure that incorporates the osseous fragment into the Bankart repair and thus avoids invasive bone-grafting procedures.
Thirty-eight patients with a chronic osseous Bankart lesion and >15% bone loss of the inferior glenoid who underwent the procedure described by Kitayama et al. were available for follow-up after a mean of 6.2 years.
