Surgical Repair of Bankart lesion in Recurrent Shoulder Dislocation: a Comparative and Retrospective Study between Open and Arthroscopic Technique

Abstract

Objective: to compare the functional results obtained from the arthroscopic and open techniques for the Bankart lesion in recurrent shoulder dislocation.Methods: a retrospective study comparing the results obtained with a minimum follow-up of two years in 76 patients (50 underwent arthroscopic repair and 26 had open repair performed). The results were obtained through ASES score (American Shoulder and Elbow Surgeons Score) and DASH score (Disabilities of the arm, shoulder and hand, and then analyzed using the Student's t-test.Results: 76 patients met the criteria for inclusion in the study, 65.8% (n = 50) had arthroscopic repair and 34.2% (n = 26) had open technique. 89% were men and 11% were women. The minimum follow-up time was 2 years. The mean age of the patients was 27.3 years. Among the patients, 31 were manual workers (39.2%) and 34 (43%) participate in recreational contact sports. The recurrence rate was 6% (3 patients) in the arthroscopic group and 3.8% (1 patient) in the open surgery group. The arthroscopic repair group achieved 94% of good and excellent results by ASES score and 92% of good and excellent results by DASH score. The open repair group achieved 92.3% of good and excellent results by ASES score and 96.1% by DASH score. Comparison between groups using DASH and ASES scores did not show a statistically significant difference, with p = 0.319 for DASH score and p > 0.05 for ASES score. Conclusion:The treatment of Bankart lesion in recurrent shoulder dislocation achieved good and excellent results in more than 90% of the cases using either arthroscopic or open techniques. Although arthroscopic surgery is the treatment of choice for most surgeons nowadays, the open repair remains an excellent option and should not be forgotten.

Outcomes of arthroscopic Bankart repair (ABR) for anterior shoulder instability using two knotless suture anchors fixation.

“…The initial results of arthroscopy were disappointing, with a recurrent rate of up to 49% using the Caspari's transglenoid suture, with the anchor technique, the results were better, but still higher than the open technique. 6 Due to technical advances combined with an increased understanding of the factors leading to recurrent instability, the results of Bankart arthroscopic repair have improved significantly and now can be compared with the results of the open technique. 6 Arthroscopic repair has the advantage of providing minimally invasive, anatomical reconstruction with low rates of operative complications and improved shoulder motion.…”

“…6 Due to technical advances combined with an increased understanding of the factors leading to recurrent instability, the results of Bankart arthroscopic repair have improved significantly and now can be compared with the results of the open technique. 6 Arthroscopic repair has the advantage of providing minimally invasive, anatomical reconstruction with low rates of operative complications and improved shoulder motion. 7,9 In absence of bone loss, arthroscopic bankart repair (ABR) is presently the leading treatment modality.…”

Outcomes of Arthroscopic Assisted Bankart Repair for Anterior Shoulder Instability Using Double Loaded All Suture Anchors Fixation

“…But open repair does not always show us a significantly improvement of functionality of the shoulder. The initial results of arthroscopy were disappointing, with a recurrent rate of up to 49% using the Caspari`stransglenoidal suture, with the anchor technique, the results were better, but still higher than the open technique [10]. Due to technical advances combined with an increased understanding of the factors leading to recurrent instability, the results of Bankart arthroscopic repair have improved significantly and now can be compared with the results of the open technique [10].…”

“…The initial results of arthroscopy were disappointing, with a recurrent rate of up to 49% using the Caspari`stransglenoidal suture, with the anchor technique, the results were better, but still higher than the open technique [10]. Due to technical advances combined with an increased understanding of the factors leading to recurrent instability, the results of Bankart arthroscopic repair have improved significantly and now can be compared with the results of the open technique [10]. Arthroscopic repair has the advantage of providing minimally invasive, anatomical reconstruction with low rates of operative complications and improved shoulder motion [11,12].…”