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

Abstract

Background: The arthroscopic method offers a less invasive technique of Bankart repair for traumatic anterior shoulder instability. The aim of the study is to determine the mid−/long-term functional outcome, failure rates and predictors of failure after primary arthroscopic Bankart repair for traumatic anterior shoulder instability. Methods: A total of 100 patients were primarily operated using arthroscopic Bankart repair after traumatic anterior shoulder instability. Medical records were retrospectively reviewed, and patients were assessed using postal questionnaire after a mean follow-up of 8.3 years [3][4][5][6][7][8][9][10][11][12][13][14]. Clinical assessment was performed using Constant score, Rowe score, and American Shoulder and Elbow Surgeons score. Results: The overall recurrence rate was 22%. The Kaplan-Meier failure-free survival estimates. were 80% at 5 years and 70% at 10 years. Nearly half (54.5%) of recurrences occurred at 2 years postoperative. Compared with normal shoulder, there were statistical differences in all 3 scores. Failure rate was significantly affected by age at the time of surgery with 86% of recurrence cases observed in patients aged 30 years or younger. Nevertheless, Younger age at the time of surgery (P = 0.007) as well age at the time of initial instability (P = 0.03) was found to correlate negatively with early recurrence within 2 years of surgery. Among those with recurrent instability, recurrence rate was found to be higher if there had been more than 5 instability episodes preoperatively (P = 0.01). Return to the preinjury sport and occupational level was possible in 41 and 78%, respectively. Conclusion: Failure-free survival rates dropped dramatically over time. Alternative reconstruction techniques should be considered in those aged ≤30 years due to the high recurrence rate.

Arthroscopic Bankart and Remplissage for Anteroinferior Instability With Subcritical Bone Loss Has a Low Recurrence Rate

“…This failure rate of 4.17% is comparable with other studies, where the range of failure reported is 2% to 15%. 17,21,24,39 Our hypothesis therefore holds true, as arthroscopic remplissage procedure along with Bankart repair for the treatment of anterior glenohumeral instability with engaging HilleSachs lesion, is associated with good postoperative functional shoulder outcomes, low failure, complication rate, no notable loss of shoulder range of motion.…”

Age, participation in competitive sports, bony lesions, ALPSA lesions, > 1 preoperative dislocations, surgical delay and ISIS score > 3 are risk factors for recurrence following arthroscopic Bankart repair: a systematic review and meta-analysis of 4584 shoulders

“…1 . Seven prospective [ 4 , 5 , 10 , 37 , 46 , 48 , 53 ] and 22 retrospective studies [ 1 , 3 , 6 , 7 , 14 – 17 , 22 – 25 , 30 , 31 , 33 , 35 , 36 , 43 , 45 , 49 , 57 , 58 ] were included (Table 1 ). The included studies comprised a combined sample size of 4584 shoulders (range 51–670) in 4564 patients (supplementary 2).…”

Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability

“…38 Hematomas, hardware problems, and nerve damage must all be considered as potential risk factors for missed games and not just recurrence. 38 In addition, this study and others 27,39 have shown that the higher rates of recurrence after Bankart repair may not occur until after 2 years, which may be longer than some AFL careers (career average is 2.9 years). Therefore, some clubs and players may prefer to risk the increased chance of only 1 complication (recurrence) with a Bankart repair over an increased risk profile overall with the Latarjet.…”