Revision Arthroscopic Bankart Repair

Clinical outcomes following revision anterior shoulder arthroscopic capsulolabral stabilization

“…The most important finding of this study is that of the 62 patients (63 shoulders) treated with arthroscopic revision surgery and followed up at a mean of 46.9 months, 11 patients (12 shoulders) failed with recurrent dislocations. These results are in keeping with the current published evidence on arthroscopic revision shoulder stabilization [1,18,20,25,26]. Furthermore, this study confirms previous papers that the overall recurrence is Reported redislocation rates following revision arthroscopic capsulolabral repair range from 0 to 27 % in the literature.…”

“…Previously reported reasons for redislocation include hyperlaxity, not utilizing enough suture anchors, glenoid bone loss, humeral head defect and return to contact sports [1,2,6,9]. Failure analysis in this series showed that recurrent instability was the result of moderate to severe trauma in 7 of 12 (58.3 %) shoulders.…”

“…In their study, the three patients who experience redislocation all had two prior surgeries [2]. In a recent systematic review by Abouali et al [1], the overall rate of recurrent instability was 14.2 %. Similarly, Creighton et al [10] have previously reported a failure rate of 17 % at a mean follow-up of 30 months, which is similar to the current series with a failure rate of 17.7 % (11 of 62 patients) at a mean follow-up of 46.9 months.…”

“…However, recurrent shoulder instability following primary shoulder stabilization presents a difficult problem for both the patient and the surgeon. Revision shoulder stabilization has historically been treated via open surgery, with the reported rates of recurrent instability following open revision Bankart repair range from 0 to 39 % [1,10,12,21,25,32]. More recently, arthroscopic revision stabilization for recurrent shoulder instability has become more popular secondary to increased surgeon familiarity with arthroscopic techniques and improvements in arthroscopic instrumentation and implants [7,11,17].…”

Shoulder instability: State of the Art

“…34 Burkhart and De Beer first proposed a threshold for glenoid bone loss above which, open bone grafting procedures should be undertaken. This paradigm has been generally well accepted and substantiated by a number of biomechanical and clinical studies 35…”