ÖZETAmaç: Travmatik anterior omuz instabilitesi cerrahi tedavisinde açık ve artroskopik Bankart tamirininklinik sonuçlarının karşılaştırılması amaçlandı.Materyal ve Metod: Ocak 2005 ile Ocak 2013 yılları arasında tekrarlayan anterior omuz instabilitesinedeniyle cerrahi tedavi uygulanan 23 hastadan son kontrolleri yapılan 20 hasta (17 erkek, 3 kadın)çalışmaya dahil edildi. Hastaların 10’una (ort. yaş 30, dağılım 17-43) açık Bankart tamiri, 10’una (ort. yaş21, dağılım 18-49) artroskopik Bankart tamiri uygulandı. Ağrı değerlendirmesi vizüel analog skalasına(VAS) göre yapılırken klinik sonuçlar Rowe skalası kullanılarak değerlendirildi. Ameliyat sonrası ortalamatakip süresi açık tamir grubunda 37.4±27.1 ay iken, artroskopik tamir grubunda 23±6.9 ay idi. İstatistikseldeğerlendirmede Shapiro-Wilk testi ile Mann-Whitney U testi kullanıldı.Bulgular: VAS skoru açık tamir grubunda 5.7±2.5, artroskopik tamir grubunda 4.1±1.9, Rowe skoru açıktamir grubunda 97.5 (dağılım 80-100), artroskopik tamir grubunda 95 (dağılım 50-100) olarak bulundu.Klinik sonuçlar açık tamir grubunda 9 hastada (%90) mükemmel, bir hastada (10%) iyi iken, artroskopiktamir grubunda 8 hastada (80%) mükemmel, bir hastada (10%) iyi, bir hastada (10%) kötü olarak bulundu.Açık grupta 2 hastada, artroskopik grupta ise 5 hastada dış rotasyon kısıtlılığı gözlendi. İki gruparasında VAS skoru, Rowe skoru ve eklem hareket açıklığı bakımından istatistiksel olarak anlamlı farkgörülmedi (p>0.05).Sonuç: Çalışmamızda artroskopik tamir ile açık tamir sonuçları, son yıllardaki çalışmalarla paralel olarakeşdeğer bulundu. Ancak artroskopik tamirin cerrahi tecrübe ve tamir yöntemlerinin gelişmesiyle, postoperatifhasta konforu ve rehabilitasyon kolaylığı nedeniyle avantajlı olduğu kanısındayız.Anahtar Sözcu¨kler: Bankart; İnstabilite; Omuz; Cerrahi; Açık; ArtroskopiABSTRACTObjective: The purpose of the study was to compare the clinical results of open and arthroscopic bankartrepair in the surgical treatment of traumatic anterior shoulder instability.Material and Methods: Out of 23 patients who had surgical treatment due to recurrent anteriorshoulder instability between January 2005 and January 2013, 20 patients (17 men, 3 women) whose lastcontrols were made were included in the study. Open Bankart repair was applied on 10 (average age 30,ranging between 17 and 43) patients and arthroscopic Bankart repair was applied on 10 (average age 21,ranging between 18 and 49) patients. While pain was assessed according to visual analog scale (VAS),clinical results were assessed by using Rowe scale. Average postoperation follow-up time was 37.4±27.1months in the open repair group, while it was 23±6.9 months in the arthroscopic repair group. Shapiro-Wilk test and Mann-Whitney U test were used for statistical analysis.Results: VAS score was 5.7±2.5 in the open surgery group, while it was 4.1±1.9 in the arthroscopic groupand Rowe score was 97.5 (ranging between 80 and 100), while it was 95 (ranging between 50 and 100) inthe arthroscopic repair group. Clinical results were perfect in 9 (90%) patients in the open surgery group,while they were good in 1 (10%) patient. In the arthroscopic repair group, clinical results were perfect in8 (80%) patients, good in 1 (10%) patient and bad in 1 (10%) patient. Limitation of external rotation wasseen in 2 patients in the open group and in 5 patients in the arthroscopic group. No statistical differencewas found between the two groups in terms of VAS score, Rowe score and range of motion (p>0.05).Conclusion: The results of arthroscopic repair and open repair in our study were found to be in parallelwith the results of recent studies. However, with the developments in repair methods and surgicalexperiences, we are of the opinion that arthroscopic repair is more advantageous due to postoperativepatient comfort and ease of rehabilitation.Keywords: Bankart; İnstability; Shoulder; Surgery; Open; Arthroscopy