Mid-term to long-term results of primary arthroscopic Bankart repair for traumatic anterior shoulder instability: a retrospective study

Background: Long-term results of the arthroscopic Bankart repair in patients older than 40 years are unknown and may be favorable in terms of postoperative glenohumeral arthritis as opposed to the long-term results of the open Latarjet procedure in patients older than 40 years. Purpose: To analyze our long-term results of the arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years of age and to compare these results with previously published long-term results of the Latarjet procedure in a cohort of similar age. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 35 consecutive patients (36 shoulders) with a mean age of 47 years (range, 40-69) at time of the arthroscopic Bankart repair were studied at a mean 13.2 years (range, 8-18) after surgery. Clinical and radiographic results were then compared with those of our previous study of 39 consecutive patients (40 shoulders) of a same age group who had been treated for the same pathology with an open Latarjet procedure. Results: Six shoulders (17%) sustained a recurrent shoulder dislocation after a mean 5.3 years; subluxation occurred in 3 shoulders (8%); and apprehension persisted in 3 shoulders (8%). Revision surgery was performed in 8 patients (22%): 2 Bankart and 6 open Latarjet. The relative preoperative Constant score and Subjective Shoulder Value were significantly improved ( P < .001) at final follow-up. Arthropathy of stabilization was advanced in the shoulders of 16 patients (47%) and had progressed by at least 2 grades in 21 patients (62%). There were significantly higher rates of redislocation and subluxation when compared with the open Latarjet procedure (9 vs 3; P = .037), and the mean final Subjective Shoulder Value was significantly lower in the Bankart group (86% vs 91%; P = .011). There were no significant differences in final advanced arthropathy (16 vs 14; P = .334) and revision rates (8 vs 7; P = .409) when compared with the Latarjet procedure. Conclusion: Arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years was associated with reliable pain relief and patient satisfaction similar to that after the open Latarjet procedure. Restoration of stability was significantly less successful and development of arthropathy no better than the open Latarjet procedure in patients older than 40 years.

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Arthroscopic bankart repair for the management of anterior shoulder instability: Mid- and long-term results

Revista Española de Cirugía Ortopédica y Traumatología (English Edition) ◽

10.1016/j.recote.2021.04.005 ◽

2021 ◽

Vol 65 (4) ◽

pp. 255-263

Author(s):

M. García-Vega ◽

P. De La Cuadra-Virgil ◽

J. Jiménez-Cristobal ◽

B. Occhi-Gómez ◽

M. Boserman-Pérez-de Villaamil

Keyword(s):

Shoulder Instability ◽

Bankart Repair ◽

Long Term Results ◽

Anterior Shoulder Instability ◽

Arthroscopic Bankart Repair

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Results of Arthroscopic Bankart Repair in Recreational Athletes and Laborers: A Retrospective Study With 5 to 14 Years of Follow-up

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119881648 ◽

2019 ◽

Vol 7 (11) ◽

pp. 232596711988164 ◽

Cited By ~ 2

Author(s):

George A. Komnos ◽

Konstantinos Banios ◽

Athanasios Liantsis ◽

Konstantinos Alexiou ◽

Sokratis Varitimidis ◽

...

Keyword(s):

Recurrence Rate ◽

Shoulder Instability ◽

Case Series ◽

Bankart Repair ◽

Long Term Results ◽

Anterior Shoulder Instability ◽

Recreational Athletes ◽

Arthroscopic Bankart Repair

Background: Arthroscopic Bankart repair is the most common procedure for anterior shoulder instability management. However, the long-term efficacy of the procedure is questionable, and the results are different among different populations. Few studies have focused on specific populations, such as recreational athletes and laborers. Hypothesis: Good to excellent long-term results, with a low recurrence rate, can be achieved using arthroscopic Bankart repair in recreational athletes and laborers suffering from anterior shoulder instability. Study Design: Case series; Level of evidence, 4. Methods: A specific group of laborers and recreational athletes were included in this study. A total of 52 patients (52 shoulders) with anterior-inferior traumatic shoulder instability underwent arthroscopic Bankart repair and met our strict criteria for study inclusion. The recurrence rate was recorded. Patients were evaluated at a minimum follow-up of 5 years using the American Shoulder and Elbow Surgeons (ASES) score, the Rowe score, the Constant score, and a visual analog scale (VAS) for pain. A radiological evaluation for arthritis was also performed according to the Samilson-Prieto classification. Results: The mean follow-up was 105.4 months (range, 65-164 months). Our overall recurrence rate was 11.5% (6/52 patients). All patients were able to return to their previous job status with minimum limitations, and 76.7% of our study population reported returning to their preinjury sporting activities. Postoperatively, all scores were improved, with statistically significant increases from preoperative values ( P < .001). At the last radiographic follow-up, 9 patients (18.8%) had mild arthritis, while 2 patients (4.2%) had moderate arthritis. Conclusion: Arthroscopic soft tissue Bankart repair may provide good to excellent long-term clinical results with an acceptable recurrence rate in medium-demand patients (recreational athletes and laborers).

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Long term results of arthroscopic bankart repair for traumatic anterior shoulder instability

Journal of Orthopaedic Surgery and Research ◽

10.1186/1749-799x-6-28 ◽

2011 ◽

Vol 6 (1) ◽

pp. 28 ◽

Cited By ~ 41

Author(s):

Gerard WW Ee ◽

Sedeek Mohamed ◽

Andrew HC Tan

Keyword(s):

Shoulder Instability ◽

Bankart Repair ◽

Long Term Results ◽

Anterior Shoulder Instability ◽

Arthroscopic Bankart Repair

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Results of Arthroscopic Bankart Repair for Anterior-Inferior Shoulder Instability at 13-Year Follow-up

The American Journal of Sports Medicine ◽

10.1177/0363546516675145 ◽

2016 ◽

Vol 45 (4) ◽

pp. 782-787 ◽

Cited By ~ 66

Author(s):

Mohamed Aboalata ◽

Johannes E. Plath ◽

Gernot Seppel ◽

Julia Juretzko ◽

Stephan Vogt ◽

...

Keyword(s):

Risk Factors ◽

Clinical Outcome ◽

Shoulder Instability ◽

Arthroscopic Repair ◽

Bankart Repair ◽

Long Term Results ◽

Arthroscopic Bankart Repair ◽

Redislocation Rate

Background: Anterior-inferior shoulder instability is a common injury in young patients, particularly those practicing overhead-throwing sports. Long-term results after open procedures are well studied and evaluated. However, the long-term results after arthroscopic repair and risk factors of recurrence require further assessment. Hypothesis: Arthroscopic Bankart repair results are comparable with those of open repair as described in the literature. Study Design: Case series; Level of evidence, 4. Methods: A total of 180 shoulders with anterior-inferior shoulder instability were stabilized arthroscopically, met the inclusion criteria and the patients were able to be contacted at a minimum of 10-year follow-up. Of these patients, 143 agreed to participate in the study. Assessment was performed clinically in 104 patients using the American Shoulder and Elbow Surgeons score, Constant score, American Academy of Orthopaedic Surgeons score, Rowe score, and the Dawson 12-item questionnaire. The Samilson-Prieto score was used to assess degenerative arthropathy in radiographs available for 100 shoulders. Additionally, 15 patients participated through a specific questionnaire and 24 patients through a telephone survey. Results: The overall redislocation rate was 18.18%. Redislocation rates for the different types of fixation devices were as follows: FASTak/Bio-FASTak, 15.1% (17/112); SureTac, 26.3% (5/19); and Panalok, 33.3% (4/12). Concomitant superior labral anterior-posterior repair had no effect on clinical outcome. Redislocation rate was significantly affected by the patient’s age and duration of postoperative rehabilitation. Redislocation rate tended to be higher if there had been more than 1 dislocation preoperatively ( P = .098). Severe dislocation arthropathy was observed in 12% of patients, and degenerative changes were significantly correlated with the number of preoperative dislocations, patient age, and number of anchors. The patient satisfaction rate was 92.3%, and return to the preinjury sport level was possible in 49.5%. Conclusion: Clinical outcome at a mean follow-up of 13 years after arthroscopic repair of anterior-inferior shoulder instability is comparable with the reported results of open Bankart repair in the literature and allows management of concomitant lesions arthroscopically. Modifiable risk factors of postoperative redislocation and arthropathy must be considered. Stabilization after the first-time dislocation achieves better clinical and radiological outcomes than after multiple dislocations.

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Correction to: Arthroscopic Bankart repair with an individualized capsular shift restores physiological capsular volume in patients with anterior shoulder instability

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-021-06669-7 ◽

2021 ◽

Author(s):

Helge Eberbach ◽

Martin Jaeger ◽

Lisa Bode ◽

Kaywan Izadpanah ◽

Andreas Hupperich ◽

...

Keyword(s):

Shoulder Instability ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Capsular Shift ◽

Arthroscopic Bankart Repair

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Revision Arthroscopic Bankart Repair Versus Arthroscopic Latarjet for Failed Primary Arthroscopic Stabilization With Subcritical Bone Loss

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211001809 ◽

2021 ◽

Vol 9 (5) ◽

pp. 232596712110018

Author(s):

Emilio Calvo ◽

Gonzalo Luengo ◽

Diana Morcillo ◽

Antonio M. Foruria ◽

María Valencia

Keyword(s):

Soft Tissue ◽

Bone Loss ◽

Revision Surgery ◽

Shoulder Instability ◽

Activity Level ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Arthroscopic Bankart Repair ◽

Functional Scores ◽

Arthroscopic Latarjet

Background: Limited evidence is available regarding the recommended technique of revision surgery for recurrent shoulder instability. Only 1 previous study has compared the results of soft tissue repair and the Latarjet technique in patients with persistent shoulder instability after primary surgical stabilization. Purpose/Hypothesis: To evaluate the results of revision surgery in patients with previous surgical stabilization failure and subcritical glenoid bone defects, comparing repeated Bankart repair versus arthroscopic Latarjet technique. The hypothesis was that Latarjet would be superior to soft tissue procedures in terms of objective and subjective functional scores, recurrence rates, and range of movement. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 45 patients (mean age, 29.1 ± 8.9 years) with subcritical bone loss (<15% of articular surface) who had undergone revision anterior shoulder instability repair after failed Bankart repair. Of these, 17 patients had arthroscopic Bankart repair and 28 had arthroscopic Latarjet surgery. Patients were evaluated at a minimum of 2 years postoperatively with the Rowe score, Western Ontario Shoulder Instability Index, and Subjective Shoulder Value. Subluxation or dislocation episodes were considered failures. Results: No statistically significant differences were found between groups in age, sex, sporting activity, preoperative Rowe score, or the presence of hyperlaxity or bony lesions. At revision arthroscopy, 20 shoulders showed a persistent Bankart lesion, 13 a medially healed labrum, and 6 a bony Bankart. In 6 patients, no abnormalities were present that could explain postoperative recurrence. In the Bankart repair group, 7 patients underwent isolated Bankart procedures; in the remaining 10 cases, a capsular shift was added. No significant differences were found between the Bankart and Latarjet groups in outcome scores, recurrence rate (11.8% vs 17.9%, respectively), or postoperative athletic activity level. The mean loss of passive external rotation at 0° and 90° of abduction was similar between groups. Conclusion: Arthroscopic Latarjet did not lead to superior results compared with repeated Bankart repair in patients with subcritical glenoid bone loss and recurrent anterior shoulder instability after Bankart repair.

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The playing position significantly influences return to sports and recurrences after an arthroscopic Bankart repair in competitive rugby players

Shoulder & Elbow ◽

10.1177/1758573221993089 ◽

2021 ◽

pp. 175857322199308

Author(s):

Ignacio Pasqualini ◽

Luciano Andrés Rossi ◽

Franco Luis De Cicco ◽

Ignacio Tanoira ◽

Ignacio Alonso Hidalgo ◽

...

Keyword(s):

Shoulder Instability ◽

Functional Outcomes ◽

The Other ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Return To Sports ◽

Arthroscopic Bankart Repair ◽

Rugby Players

Background The purpose of our study was to investigate the influence of the different rugby playing positions on return to sports, functional outcomes, and recurrences after an arthroscopic Bankart repair. Methods A total of 88 rugby players were treated for anterior shoulder instability in our institution between 2010 and 2018. Functional outcomes, return to sports, recurrences, complications, and revisions rates were evaluated according to the playing position. Results Overall, 73.8% of the patients returned to rugby and 60% returned at the same level as before the injury. The tight forwards and outside backs experienced a significant decrease in their competitive level after surgery, and showed the lowest functional outcomes. The tight forwards and outside backs showed a statistically significant increase in recurrence and revision rates, and an OR for recurrence of 12.8 and 9.6, respectively. Discussion The playing position significantly influenced return to sports and recurrences after an arthroscopic Bankart repair in competitive rugby players. Specifically, the tight forwards and outside backs have returned to a lower level than they had before surgery, showed the lowest functional outcomes, and a significant increase in recurrences and revisions rates than the other groups.

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