No Difference in Outcomes After Arthroscopic Bankart Repair With Remplissage or Arthroscopic Latarjet Procedure for Anterior Shoulder Instability

Hurley, Eoghan T.; Colasanti, Christopher A.; Lorentz, Nathan A; Matache, Bogdan A.; Campbell, Kirk A.; Jazrawi, Laith M.; Meislin, Robert J.

doi:10.1016/j.asmr.2021.12.011

Cited by 16 publications

(16 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Average Hill-Sachs lesion depth and glenoid bone loss were 9.48 mm and 12.9% in the BR group and 8.42 mm and 14.8% in the Latarjet group, respectively. Two studies showed a significant difference in Hill-Sachs lesion depth 19 , 40 and in glenoid bone loss 19 , 22 between the BR group and the Latarjet group. Mean follow-up length varied across the studies from 24.7 to 74 months; follow-up length was not always similar between groups and not always separately reported for BR and Latarjet groups.…”

Section: Resultsmentioning

confidence: 99%

“… 18 While, BR has shown less recurrent instability than the Latarjet procedure in a study with a mean glenoid bone loss below 15%. 19 Contrastingly, the study of Hurley et al 22 showed reduced recurrent instability in the Latarjet group compared to the BR group. These recent studies might bring new insights regarding clinical and patient reported outcomes.…”

mentioning

confidence: 89%

See 1 more Smart Citation

Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion. A systematic review

Schrouff,

Verlaan

2023

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 89%

Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion. A systematic review

Schrouff,

Verlaan

2023

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

“…A further 87 studies were excluded after full‐text review. This left 29 eligible studies [1, 7, 8, 11, 14, 16–18, 23, 24, 29–32, 38, 40–45, 47, 48, 53, 55–59] of which 16 assessed arthroscopic bony Bankart repair, 13 assessed arthroscopic Latarjet (Tables 1 and 2). All studies reported preoperative glenoid bone loss: 21 reported mean preoperative glenoid bone loss, of which 4 created subgroups of glenoid bone loss and reported the mean loss of each subgroup, while 8 used a threshold of glenoid bone loss as a part of their inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

Arthroscopic Latarjet yields better union and prevention of instability compared to arthroscopic bony Bankart repair in shoulders with recurrent anterior instability: a systematic review

Billaud,

Baverel,

van Rooij

et al. 2023

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

Purpose To determine whether arthroscopic Latarjet procedure or arthroscopic bony Bankart repair provide better outcomes in terms of rates of recurrent instability, non-union and complications, as well as clinical scores and range of motion. Methods An electronic literature search was performed using PubMed, Embase®, and Cochrane databases, applying the following keywords: "Arthroscopic bony Bankart" OR "Arthroscopic osseous Bankart" AND "Arthroscopic Latarjet" OR "Arthroscopic coracoid bone block". ResultsThe systematic search returned 1465 records, of which 29 were included (arthroscopic bony Bankart repair, n = 16; arthroscopic Latarjet, n = 13). 37 datasets were included for data extraction, on 1483 shoulders. Compared to arthroscopic Latarjet, arthroscopic bony Bankart repair had significantly higher instability rates (0.14; CI 0.10-0.18; vs 0.04; CI 0.02-0.06), significantly lower union rates (0.63; CI 0.28-0.91 vs 0.98; CI 0.93-1.00), and significantly lower pain on VAS (0.42; CI 0.17-0.67 vs 1.17; CI 0.96-1.38). There were no significant differences in preoperative glenoid bone loss, follow-up, complication rate, ROWE score, ASES score, external rotation, and anterior forward elevation between arthroscopic Latarjet and arthroscopic bony Bankart repair. Conclusion Compared to arthroscopic Latarjet, arthroscopic bony Bankart repair results in significantly (i) higher rates of recurrent instability (14% vs 4%), (ii) lower union rates (63% vs 98%), but (iii) slightly lower pain on VAS (0.45 vs 1.17). There were no differences in complication rates, clinical scores, or postoperative ranges of motion. Level of evidence IV.

show abstract

“…Remplissage has also been compared with Latarjet in several studies, which have overall demonstrated similar rates of recurrence 4,5,37-39 . Risks of postoperative complications, however, are known to be higher with the Latarjet procedure when compared with Bankart repair with remplissage 4,5,37,40,41 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Hwang

Horinek²,

Ardebol

et al. 2022

JBJS Reviews

View full text Add to dashboard Cite

A Hill-Sachs lesion (HSL) is a compression fracture on the posterolateral humeral head that can increase the risk of recurrent shoulder instability after isolated arthroscopic Bankart repair.» Remplissage involves capsulotenodesis of the infraspinatus tendon and posterior capsule into the HSL to prevent its engagement with the glenoid rim through extra-articular conversion and restraint against humeral head anterior translation.» The glenoid track concept can be applied preoperatively and intraoperatively to evaluate risk of recurrence and help direct clinical management options for recurrent shoulder instability.» Recent literature supports expanding indications for remplissage to include patients with on-track HSLs who are at increased risk of recurrence including collision athletes, military personal, and patients with joint hyperlaxity.» New techniques and suture constructs have demonstrated improved biomechanical strength while avoiding the need to access the subacromial space.

show abstract

No Difference in Outcomes After Arthroscopic Bankart Repair With Remplissage or Arthroscopic Latarjet Procedure for Anterior Shoulder Instability

Cited by 16 publications

References 27 publications

Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion. A systematic review

Bankart repair with remplissage vs. Latarjet procedure on recurrence, postoperative pain scores, external rotation, and Rowe score in patients with a Hill-Sachs lesion. A systematic review

Arthroscopic Latarjet yields better union and prevention of instability compared to arthroscopic bony Bankart repair in shoulders with recurrent anterior instability: a systematic review

Arthroscopic Remplissage for the Treatment of Anterior Shoulder Instability

Contact Info

Product

Resources

About