Mid-term to long-term outcome of the open Bankart repair for recurrent traumatic anterior dislocation of the shoulder

Neviaser, Robert J.; Benke, Michael T.; Neviaser, Andrew S.

doi:10.1016/j.jse.2017.04.013

Cited by 19 publications

(31 citation statements)

References 24 publications

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“…Table 1 lists the distribution of the MINORS scores and the range of articles considered high quality. Five articles 2 , 6 , 18 , 24 , 33 were considered high-quality studies with a low risk of bias, exceeding 60% of the total points.…”

Section: Resultsmentioning

confidence: 99%

“…Mean follow-up was 11.5 years (range, 2.5-29 years); 4studies with 246 shoulders (246/566) had >15 years of follow-up. 2 , 6 , 24 , 27 …”

Section: Resultsmentioning

confidence: 99%

“… 10 Different procedures have been described for the stabilization of the glenohumeral joint. Of these procedures, the open Bankart repair is associated with a low recurrence rate (2%) 24 and a high percentage (>90%) of good to excellent outcomes. 5 , 18 , 20 , 24 …”

mentioning

confidence: 99%

“…Of these procedures, the open Bankart repair is associated with a low recurrence rate (2%) 24 and a high percentage (>90%) of good to excellent outcomes. 5 , 18 , 20 , 24 …”

mentioning

confidence: 99%

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

AlSomali

Kholinne

Nguyen

et al. 2021

Orthopaedic Journal of Sports Medicine

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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.

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Section: Resultsmentioning

confidence: 99%

“…Mean follow-up was 11.5 years (range, 2.5-29 years); 4studies with 246 shoulders (246/566) had >15 years of follow-up. 2 , 6 , 24 , 27 …”

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

“…Of these procedures, the open Bankart repair is associated with a low recurrence rate (2%) 24 and a high percentage (>90%) of good to excellent outcomes. 5 , 18 , 20 , 24 …”

mentioning

confidence: 99%

See 2 more Smart Citations

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

AlSomali

Kholinne

Nguyen

et al. 2021

Orthopaedic Journal of Sports Medicine

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“…Entre os tratamentos cirúrgicos existentes para estabilizar o ombro, o reparo por via artroscópica tem se tornado cada vez mais popular devido a vantagens como menor perda de movimento, menor agressão cirúrgica, preservação do subescapular e baixa morbidade, em comparação com a cirurgia aberta. 5 Vários fatores relacionados ao paciente que contribuem para o risco de recorrência após o reparo artroscópico de Bankart têm sido relatados, incluindo idade mais jovem no momento da cirurgia, gênero masculino, instabilidade bilateral, hiperfrouxidão ligamentar, participação em esportes de colisão, e o retorno precoce para esportes de contato. 6 Fatores de risco associados à lesão, como erosão ou deficiência da glenoide, o tamanho da lesão de Hill-Sachs, e se a lesão está envolvendo a borda anterior da glenoide também foram implicados.…”

Section: Introductionunclassified

Avaliação pós-operatória de pacientes submetidos a reparo artroscópico de instabilidade anterior do ombro

Storti

Lima

Costa

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar clinicamente os resultados de pacientes submetidos a tratamento cirúrgico artroscópico de instabilidade anterior do ombro. Métodos Estudo retrospectivo de 94 pacientes. Com seguimento mínimo de 24 meses, buscamos correlacionar as características dos pacientes e da cirurgia, como idade, gênero, tipo de lesão (traumática ou atraumática) e posição do paciente na cirurgia (decúbito lateral e cadeira de praia) com os resultados obtidos, avaliando o índice de recidivas de luxação, a perda de rotação lateral, a dor residual, e os escores funcionais de Carter-Rowe, da University of California at Los Angeles (UCLA) e de Constant-Murley. Resultados Observamos uma taxa de recidiva de luxação de 11,7%, perda de rotação lateral em 37,23% dos pacientes, e algum grau de dor residual em 51,6%. Obtivemos uma pontuação média no escore de Carter Rowe de 85,37, representando 86% de resultados bons/excelentes. No escore da UCLA, obtivemos 88% de resultados bons/excelentes, índice semelhante aos encontrados no escore de Constant-Murley (86%). Conclusão O tratamento artroscópico da instabilidade anterior do ombro apresenta resultados satisfatórios e baixo índice de complicações importantes, podendo ser o método de escolha para a maioria dos pacientes.

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Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis

Verweij

Pruijssen

Kerkhoffs

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Age at primary dislocation, recurrence, and glenoid bone loss are associated with development of osteoarthritis (OA). However, an overview of OA following traumatic anterior shoulder instability is lacking and it is unclear to what degree type of surgery is associated with development of OA in comparison to non-operative treatment. The aim of this study was to determine the degree of OA at long-term follow-up after non-operative and operative treatments for patients with anterior shoulder instability. Surgery is indicated when patients experience recurrence and this is associated with OA; therefore, it was hypothesized that shoulders show a higher proportion or degree of OA following operative treatment compared to non-operative treatment. Methods A literature search was performed in the PubMed/Medline, EMBASE, and Cochrane databases. Articles reporting the degree of OA that was assessed with the Samilson–Prieto or Buscayret OA classification method after non-operative and operative treatment for anterior shoulder instability with a minimum of 5 years follow-up were included. Results Thirty-six articles met the eligibility criteria of which 1 reported the degree of OA for non-operative treatment and 35 reported the degree of OA for 9 different operative procedures. A total of 1832 patients (1854 shoulders) were included. OA proportions of non-operative and operative treatments are similar at any point of follow-up. The Latarjet procedure showed a lower degree of OA compared to non-operative treatment and the other operative procedures, except for the Bristow procedure and Rockwood capsular shift. The meta-analyses showed comparable development of OA over time among the treatment options. An increase in OA proportion was observed when comparing the injured to the contralateral shoulder. However, a difference between the operative subgroups was observed in neither analysis. Conclusion Non-operative and operative treatments show similar OA proportions at any point of follow-up. The hypothesis that shoulders showed a higher proportion or degree of OA following operative treatment compared to non-operative treatment is not supported by the data. Operative treatment according to the Latarjet procedure results in a lower degree of OA compared to other treatments, including non-operative treatment. Level of evidence IV.

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Mid-term to long-term outcome of the open Bankart repair for recurrent traumatic anterior dislocation of the shoulder

Cited by 19 publications

References 24 publications

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

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

Avaliação pós-operatória de pacientes submetidos a reparo artroscópico de instabilidade anterior do ombro

Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis

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