Clinical Results of Arthroscopis Bankart Repair in Patients with Traumatic Anterior Shoulder Instability

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.

Download Full-text

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.

Download Full-text

Long-term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging Hill–Sachs lesions

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-018-5261-3 ◽

2018 ◽

Vol 27 (1) ◽

pp. 305-313 ◽

Cited By ~ 4

Author(s):

Emmanouil Brilakis ◽

Grigoris Avramidis ◽

Michael-Alexander Malahias ◽

Apostolos Stathellis ◽

Anastasios Deligeorgis ◽

...

Keyword(s):

Shoulder Instability ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Term Outcome ◽

Long Term Outcome ◽

Recurrent Anterior Shoulder Instability

Download Full-text

Arthroscopic Bankart Repair with and without Arthroscopic Infraspinatus Remplissage in Anterior Shoulder Instability with a Hill-Sachs Defect: A Randomized Controlled Trial

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2020.11.013 ◽

2020 ◽

Author(s):

Peter MacDonald ◽

Sheila McRae ◽

Jason Old ◽

Jonathan Marsh ◽

Jamie Dubberley ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Shoulder Instability ◽

Controlled Trial ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Randomized Controlled ◽

Arthroscopic Bankart Repair

Download Full-text

Outcomes and Return to Sport and Work After Open Bankart Repair for Recurrent Shoulder Instability: A Systematic Review

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211026907 ◽

2021 ◽

Vol 9 (10) ◽

pp. 232596712110269

Author(s):

Khalid AlSomali ◽

Erica Kholinne ◽

Thanh Van Nguyen ◽

Chang-Ho Cho ◽

Jae-Man Kwak ◽

...

Keyword(s):

Systematic Review ◽

Shoulder Instability ◽

Return To Sport ◽

Bankart Repair ◽

Cochrane Library ◽

Anterior Shoulder Instability ◽

Functional Score ◽

High Demand ◽

Recurrent Instability ◽

Instability Rate

Background: Open Bankart repair provides surgeons and patients with an alternative solution for managing recurrent instability in young athletes with or without minimal bone loss. Despite many studies that have reported low recurrence rates and good functional outcomes after open Bankart repair, we have limited knowledge about the return to sport and work for high-demand populations. Purpose: To assess the return to sport and work for high-demand populations after open Bankart repair for recurrent anterior shoulder instability, outcomes of open Bankart repair with regard to recurrence, and development of osteoarthritic (OA) changes. Study Design: Systematic review; Level of evidence, 4. Methods: We searched PubMed, EMBASE, Cochrane Library, Scopus, and Google Scholar databases using keywords as well as Medical Subject Headings terms and Emtree using “(Open Bankart OR Bankart surgery) (NOT arthroscopy NOT revision)” for English-language studies. We conducted a systematic review in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results: In total, 11 articles (10 with level 4 and 1 with level 3 evidence) including 563 patients (566 shoulders) were identified. The majority of patients were male (82%), the average age at the time of surgery was 27.4 years, and the mean follow-up was 11.5 years (range, 2.5-29 years). The most common functional score used was the Rowe score (95%) for the reported outcome measures, which showed good to excellent results (mean, 88.5 points). The overall recurrent instability rate, including dislocation and subluxation as a postoperative complication, was 8.5%. A total of 87% of patients were able to return to sport and work postoperatively. Overall, OA changes were reported in 33% of the patients, and the overall revision rate was 1%. Conclusion: Open Bankart repair exhibited favorable results, with a low postoperative instability rate. It is a reliable surgical procedure that allows high-demand patients to return to sport and work.

Download Full-text

Treatment of anterior shoulder instability: a bibliometric analysis

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-022-02913-z ◽

2022 ◽

Vol 17 (1) ◽

Author(s):

Mingtao Zhang ◽

Zhitao Yang ◽

Borong Zhang ◽

Tao Liu ◽

Xiangdong Yun

Keyword(s):

United States ◽

Risk Factors ◽

Shoulder Instability ◽

Sports Medicine ◽

The United States ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Arthroscopic Bankart Repair ◽

Number Of Citations ◽

Research Frontiers

Abstract Purpose The treatment of anterior shoulder instability is a focus in the field of sports medicine. While much research has been conducted, few bibliometric studies have been performed in this field. This study analyzed the main characteristics and identified emerging research trends and hotspots related to the treatment of anterior shoulder instability over the past four decades. Methods We searched for (anterior shoulder instability OR anterior shoulder dislocation) AND (treatment OR reconstruction) in ARTICLE (Mesh) in the Web of Science database from 1980 to 2020. We analyzed the keywords, author, institution, country, number of citations, average number of citations, publication year, and partnership of the identified articles. Information about annual publications was analyzed using Microsoft Excel 2019; the remaining data were analyzed using VOSviewer version 1.6.11 (Leiden University, Leiden, Netherlands) and CiteSpace version 5.7.R2 (Drexel University, Philadelphia, PA, USA). Results A total of 1964 articles were published between 1980 and 2020. The American Journal of Sports Medicine, the United States, the United States Department of Defense, and Arcieio were journals, countries, institutions, and authors with the highest numbers of publications. The topic hotspots were instability, shoulder, and dislocation, while the research frontiers were arthroscopic, Bankart repair, Latarjet procedure, risk factors, recurrence, and complications. Conclusion The treatment of anterior shoulder instability has shown an increasing number of publications each year and achieved great progress. The United States made the most outstanding contributions to this important field. Arthroscopic, Bankart repair, and Latarjet procedures were research hotspots and risk factors, recurrence, and complications were likely to research frontiers.

Download Full-text