Bankart repair in traumatic anterior shoulder instability

Kim, Seung‐Ho; Ha, Kwon-Ick; Kim, Sang-Hyun

doi:10.1053/jars.2002.31701

Cited by 228 publications

(148 citation statements)

References 30 publications

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“…While a large number of studies have looked at recurrence of shoulder instability following arthroscopic Bankart repair, a large degree of variability exists ranging from 3.4 to 33.3% lifetime recurrence rate, with an average rate of 13.1% when pooling 12 high-quality trials [8,[57][58][59][60][61][62][63][64]. The reported recurrence rate after arthroscopic Bankart repair ranges from 4 to 19% [65]; in newer literature, the risk is increased by participation in contact sports [66].…”

Section: Recurrence Of Shoulder Instabilitymentioning

confidence: 99%

“…Following arthroscopic Bankart repair, average external rotation is commonly decreased, both with the arm at the side (ranging between 3.5 and 9°) and with the arm abducted to 90°( ranging between 3.5 and 7°) [8,[57][58][59]68]. Similarly, a small degree of average loss of forward flexion is to be expected, ranging 1-3° [57].…”

Section: Range Of Motion (Rom)mentioning

confidence: 99%

“…Return to previous level of work ranges from 46 to 97% following arthroscopic Bankart repair with an average rate of 70.7% when pooling data from six high-quality studies [57,58,61,62,64,69]. Recent long-term data have shown that return to previous athletic level is possible in as few as 49.5% of patients, although return to play has been shown to be as high as 90% in other studies [3,70].…”

Section: Return To Work/sportmentioning

confidence: 99%

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Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.

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Section: Recurrence Of Shoulder Instabilitymentioning

confidence: 99%

Section: Range Of Motion (Rom)mentioning

confidence: 99%

Section: Return To Work/sportmentioning

confidence: 99%

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Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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“…In the study, the recurrence rate in the arthroscopic group was also superior to those operated by the open group and the final functional result did not present a difference with statistical significance between both techniques. On the other hand, Kim et al [7] obtained similar results regarding recurrence and better functional results in the arthroscopic group, comparing the open and arthroscopic technique, using anchors in both groups; there was also a higher incidence of residual instability in patients with fewer anchors, recommending the use of at least three anchors.…”

Section: Discussionmentioning

confidence: 77%

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

Lech¹

2017

MOJOR

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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.

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“…2 Recurrent instability limits range of movement of the joint, requires multiple hospital and ER admissions for treatment and often calls for surgical procedures to prevent further dislocation. 7,12,19,21,30 Given the burden of disease and societal costs, there is a need for more information to guide resource allocation decisions within these areas of orthopaedics. 1,3,14,18,33,34 In our healthcare system, the use and allocation of resources has come under tremendous scrutiny.…”

mentioning

confidence: 99%

Cost Analysis of Failed Shoulder Stabilization

Godin¹,

Skendzel²,

Sekiya³

2015

The Duke Orthopaedic Journal

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Background: Shoulder instability is a common problem, especially in the young, active population. Revision stabilization has a high rate of recurrent instability, low rates of return to play, and low clinical outcome scores. The challenge for surgeons is identifying the best surgery for each patient. To our knowledge, no studies have been published examining the cost of failed shoulder stabilization.

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Bankart repair in traumatic anterior shoulder instability

Cited by 228 publications

References 30 publications

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

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

Cost Analysis of Failed Shoulder Stabilization

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