Outcomes of Bankart Repairs Using Modern Arthroscopic Technique in an Athletic Population

Milchteim, Charles; Tucker, Scott A.; Nye, Darin D.; Lamour, Richard J.; Liu, Wei; Andrews, James R.; Ostrander, Roger V.

doi:10.1016/j.arthro.2016.01.025

Cited by 48 publications

(44 citation statements)

References 35 publications

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“…However, after the advance of the arthroscopic procedure, some recent cases found similar and even lower values for failure rate. Milchteim et al 13 showed 6.4% in contact sports athletes with a return of 82.5% with the same performance level. For an athlete, being away from sports practice in addition to reduced performance and prolonged recovery can cause devastating effects on their career.…”

Section: Discussionmentioning

confidence: 94%

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

et al. 2020

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Anterior glenohumeral instability is a frequent cause of professional soccer players’ removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly. Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Methods: Analysis held between 2010 and 2018 of professional soccer players diagnosed with anterior shoulder instability operated by the open procedure of Lartajet in our service. Results: The mean return to professional sports was 93.5 days. The mean time of surgery in relation to the first dislocation was 12.4 months. Each athlete had 4.3 shoulder dislocations until the procedure was performed. The rate of recurrence was zero and subluxation was not observed. Conclusion: The Latarjet procedure allowed all professional athletes to return to competitive activities quickly, without dislocations and subluxation, negative seizure and without complications during follow-up. Level of evidence IV, Case series.

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Section: Discussionmentioning

confidence: 94%

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

et al. 2020

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“…These findings are comparable to the present literature. 25,[29][30][31] It is noteworthy that mean ASES outcome improved by 18 points between preoperative baseline and 2-year follow-up. This means an improvement above the previously described MCID.…”

Section: Discussionmentioning

confidence: 94%

How Satisfied Are Patients with Arthroscopic Bankart Repair? A 2-Year Follow-up on Quality-of-Life Outcome

Saier

Plath

Waibel

et al. 2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Milchteim et al 22 examined the results of arthroscopic Bankart repair using suture anchors in 89 highly active patients with a mean age of 21.9 years. The success rate was 94% at a mean follow-up of 5 years.…”

Section: Discussionmentioning

confidence: 99%

“…4,8,14,18,22,25,32 In addition, the level of sport involvement and classification in terms of contact are often not clearly defined. Although excellent short-term results have been reported, there have been few studies specifically examining arthroscopic Bankart repairs in the adolescent population.…”

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confidence: 99%

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

Saper

Milchteim²,

Zondervan

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Literature on arthroscopic stabilization in adolescent patients participating in collision and contact sports is limited, as most studies include adolescents within a larger sample group comprised primarily of adults.Purpose:To review the outcomes of arthroscopic Bankart repair for anterior shoulder instability in an adolescent population participating in collision and contact sports.Study Design:Case series; Level of evidence, 4.Methods:This retrospective review included 39 shoulders in 37 adolescent (≤19 years) athletes who underwent primary arthroscopic Bankart repair using suture anchors with at least 2-year follow-up. All patients had a history of trauma to their shoulder resulting in an anterior dislocation. Outcome measures included patient satisfaction, the visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, and Rowe score. Recurrence of dislocation and return to sporting activity were also assessed.Results:The mean age at the time of surgery was 16.9 years (range, 15-19 years), and the mean follow-up was 6.3 years (range, 4.3-10.0 years); 58.6% of patients participated in collision sports. Time to surgery after the initial dislocation episode was 9.2 months (range, 0.5-36.2 months). Four shoulders (10.3%) had dislocation events postoperatively. The majority (78.1%) of patients returned to sports at the same level of competition. Mean VAS was 0.49 ± 1.0, and the mean ASES and Rowe scores were 92.8 ± 12.6 and 85.0 ± 24.2, respectively. Univariate analyses demonstrated that subjective functional outcomes were negatively correlated with recurrence (ASES, P = .005; Rowe, P = .001) and failure to return to sport (ASES, P = .016; Rowe, P = .004). Independent variables shown to have no significant relationship to functional outcomes included age, follow-up, number of preoperative dislocations, time to surgery, sport classification, competition level, tear extent, number of anchors, concurrent Hill-Sachs lesion, and repair of a superior labral anterior-posterior (SLAP) lesion.Conclusion:Arthroscopic Bankart repair is an effective surgical option for traumatic shoulder instability in adolescents participating in collision and contact sports. At a minimum 4-year follow-up, arthroscopic Bankart repair effectively restored stability in 90% of cases; 80% returned to their preinjury level of sport.

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Outcomes of Bankart Repairs Using Modern Arthroscopic Technique in an Athletic Population

Cited by 48 publications

References 35 publications

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

Latarjet Procedure on Anterior Shoulder Instability in Professional Soccer Players

How Satisfied Are Patients with Arthroscopic Bankart Repair? A 2-Year Follow-up on Quality-of-Life Outcome

Outcomes After Arthroscopic Bankart Repair in Adolescent Athletes Participating in Collision and Contact Sports

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