Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up

Godinho, Glaydson Gomes; Freitas, José Márcio Alves; França, Flávio de Oliveira; Santos, Flávio Márcio de Lago e; Aragão, Alan Arruda; Barros, Marcos Knoll

doi:10.1016/j.rboe.2014.12.006

Cited by 9 publications

(29 citation statements)

References 24 publications

(34 reference statements)

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“…Among the 52 studies evaluated, there were 3 with level 1 evidence, 15 with level 2 evidence, 17 with level 3 evidence, and 17 with level 4 evidence (Appendix Figure A1). Five studies reported on 2 separate cohorts specific to the Bankart procedure, which were included separately from the pooled data; the studies (separate cohorts) were as follows: Godinho et al 27 (single-loading anchors and double-loading anchors), Kim et al 34 (primary dislocation group and recurrent dislocation group), Ozbaydar et al 53 (anterior labroligamentous periosteal sleeve avulsion lesion group and Bankart lesion group), Hantes et al 28 (anterior labral lesion group and superior labral lesion group), and Marshall et al 45 (first-time dislocation group and recurrent dislocation group). The meta-analysis therefore included 57 cohorts.…”

Section: Resultsmentioning

confidence: 99%

Variability of Reporting Recurrence After Arthroscopic Bankart Repair: A Call for a Standardized Study Design

Kennedy

Murphy

Dornan

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: High recurrence rates have been reported after anterior shoulder dislocations, regardless of the treatment utilized. However, the definition of recurrent instability has been inconsistent, making a comparison between studies difficult. Purpose: To report on the nature with which the rate of recurrent instability is reported after arthroscopic Bankart repair, across all levels of evidence, and to analyze factors that may affect the reported rate of recurrence. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was performed by searching PubMed, the Cochrane Central Register of Controlled Trials, Embase, and ClinicalTrials.gov for studies published within the dates of January 2008 and September 2018. Studies in English that reported on the recurrence of instability after arthroscopic Bankart repair for anterior shoulder instability were considered for inclusion in this review. A meta-regression was performed to test for a linear association between the reported recurrence rate and several continuous covariates, including mean age at surgery, mean length of follow-up, attrition rate (loss to follow-up percentage), and percentage of male patients. Results: A trim-and-fill meta-analysis yielded an estimated overall recurrence rate of 17.4% (95% CI, 14.3%-20.9%). There was a significant difference in the recurrence rate depending on the level of evidence (Q(3) = 10.98; P = .012). Significant associations were found with the recurrence rate through the meta-regression, including a negative association with mean age ( P = .009), a positive association with mean follow-up time ( P = .002), and a positive association with attrition rate ( P = .035). Conclusion: A call for standardization is necessary for reporting outcomes of anterior instability after arthroscopic Bankart repair, especially with regard to the reporting of recurrence/failure rates, with careful consideration of the effects that may occur from patient demographics and study design. With no current recommendations for deeming failure, we suggest that all forms of instability be accounted for when determining a failed treatment procedure, with future studies placing an emphasis on greater control of the study design.

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Section: Resultsmentioning

confidence: 99%

Variability of Reporting Recurrence After Arthroscopic Bankart Repair: A Call for a Standardized Study Design

Kennedy

Murphy

Dornan

et al. 2019

Orthopaedic Journal of Sports Medicine

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“…None of the 12 studies included assessed the satisfaction with treatment or whether the patient would recommend the procedure to a third party or have surgery again; in addition, only 2 (17%) studies reported the number of patients returning to previous sports activities, 19 26 although none of them used scores to measure such outcome.…”

Section: Resultsmentioning

confidence: 99%

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

et al. 2019

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A review involving the six major international orthopedic journals has been published recently. It described the tools used for the evaluation of outcomes in the surgical treatment of recurrent anterior dislocation of the shoulder. There are no studies that exhibit the main outcome tools for this disease in Brazil. The authors evaluated the outcomes of clinical studies involving anterior glenohumeral instability that were published in the last decade in the two leading Brazilian orthopedic journals, Revista Brasileira de Ortopedia and Acta Ortopédica Brasileira . A review of the literature was performed, including all clinical papers published between 2007 and 2016 describing at least one outcome measure before and after surgical intervention. The outcomes were range of motion, muscle strength, physical examination testing, patient satisfaction, return to sports, imaging, complications, and functional outcomes scores. Twelve studies evaluating the clinical outcomes of surgical treatment for anterior shoulder instability were published. Ten studies (83%) were case series (level of evidence IV), 1 (8%) was a case-control study (III), and 1 was a retrospective cohort (III). On average, the number of outcomes assessed was 3.7 ± 1.7. The Rowe score was used in 9 studies (75%), and 7 (58%) papers used the University of California Los Angeles (UCLA) scale. Ten studies (83%) reported complications related to surgical treatment. The complication most frequently reported was recurrent instability, found in 9 studies (75%). The national studies have preferentially used scales considered to be of low reliability, responsiveness, and internal consistency.

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“… 1 , 3 , 4 , 6 , 7 , 12 , 13 Increase in the success rates of arthroscopic surgery is associated with improvement of surgical technique and material used, as well as to the careful selection of patients by identifying recurrence risk factors. 8 , 14 Even genetic studies, in the early stages, are being conducted in order to improve treatment outcomes. 15 …”

Section: Discussionmentioning

confidence: 99%

“…In recent years, a tendency to increase indications for arthroscopic treatment has been observed. 1 , 4 , 6 , 7 , 8 , 9 , 10 In the United States, between 2003 and 2005, 71.2% of all Bankart lesions were treated with arthroscopy, while between 2006 and 2008 this percentage increased to 87.7%. 2 The literature is controversial regarding which method achieves better results, especially when the prevalence of recurrence of dislocation after surgery is assessed.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of postoperative monitoring of patients undergoing shoulder arthroscopy for anterior instability

Almeida¹,

Menegotto²,

Almeida³

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveAnalyze the postoperative follow-up of patients undergoing shoulder arthroscopy for treatment of anterior instability and correlate with the prevalence of recurrence.MethodsA six-question survey was applied by phone and mail to 65 patients, seeking information on the current result of the surgical procedure. All patients were treated arthroscopically for anterior shoulder instability, with at least 12 months of postoperative time. Patients with associated posterior labial lesions and revision surgeries were not included.ResultsAt the time of the survey the patients had a median of 56 (IQR: 34.5–110.5) postoperative months. The mean sample age was 24.6 years (maximum = 47, minimum = 12; SD = 7.3). Complaint of pain in the shoulder was observed in 20 patients (30.7%). Dislocation recurrence was observed in 10 patients (15.3%). Forty-four patients (67.6%) considered their shoulder normal, which was more frequent in non-recurrence patients (p < 0.001). Forty-three patients (66.1%) returned to their previous level of sport and there was no difference between recurrence and non-recurrence patients (p = 0.456). It was found that the prevalence of recurrence was 5.6 (95% CI: 1.30–24.46) times higher in individuals who abandoned monitoring before six months postoperatively (p = 0.012).ConclusionThe abandonment of postoperative monitoring in the early stages, when the patients receive orientation for muscle strengthening, proprioceptive education, and dangerous movements to avoid, can increase the rates of recurrent shoulder dislocation in patients treated for anterior instability by arthroscopy.

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Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up

Cited by 9 publications

References 24 publications

Variability of Reporting Recurrence After Arthroscopic Bankart Repair: A Call for a Standardized Study Design

Variability of Reporting Recurrence After Arthroscopic Bankart Repair: A Call for a Standardized Study Design

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

Analysis of postoperative monitoring of patients undergoing shoulder arthroscopy for anterior instability

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