Abstract
Purpose
To compare the outcomes of arthroscopic anterior Bankart repair with and without associated postero-inferior capsulolabral repair as treatment of anterior glenohumeral instabiliy at minimun 10 year follow-up.
Methods
A retrospective comparative study including patients who underwent arthroscopic anterior Bankart repair to treat anterior glenohumeral instability with glenoid bone-loss < 15% between January 2000 and February 2010 was performed. Outcomes were reported as recurrence rate, type of recurrence (dislocation or subluxation), need for revision surgery, range of motion, complications, and functional status. Outcomes were compared depending on whether a postero-inferior capsulolabral repair was added to the anterior Bankart repair.
Results
70 shoulders [59 males, mean age 28.2 (range 14–56), mean follow-up 146.1 (range 120–208) months] were included. Recurrence occurred in 9 cases (12.8%), including 3 dislocations and 6 subluxations. Revision surgery was needed in 8 (11.4%). Mean Rowe score improved from 29.7 (11.6) preoperatively to 87.1 (12.3) postoperatively. 83.3% returned to previous sports activities. Mean forward flexion changed from 173.5° (19.2) to 168.4º(10.4) (P < 0.01), external rotation from 81.4° (18) to 75.7° (10.5) (P < 0.01), and internal rotation decreased from 66.2% reaching T12 to 14.1% (P < 0.01). Addition of postero-inferior capsulolabral repair did not influence any of the outcomes significantly.
Conclusion
Postero-inferior capsulolabral repair added to anterior Bankart repair as treatment of anterior glenohumeral instability in abscence of significant glenoid bone-loss did not influence the outcomes in terms of recurrence, range of motion, return to sports, or functional status, compared to isolated anterior Bankart repair at 12.2 year follow-up.
Level of Evidence
Level III.
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Data Availability
All data are available in the main text.
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PCMdS had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. PCMdS participated on study concept and design, drafting the manuscript, and critical review. NZU participated on study concept and design and critical manuscript review. ITM participated on analysis and interpretation of data, and critical review. ÁCD was the surgeon of the cases presented and participating on critical review of the manuscript.
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Pablo Carnero-Martín de Soto, Néstor Zurita-Uroz, Iskandar Tamimi Mariño, and Ángel Calvo Díaz declare that they have no conflict of interest.
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The study protocol was approved by the Hospital Viamed Montecanal ethical committee (registry number 20201).
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Informed consent was obtained from all patients for being included in the study.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
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Carnero-Martín de Soto , P., Zurita-Uroz, N., Tamimi-Mariño, I. et al. Long-Term Results of Arthroscopic Bankart Repair for Anterior Glenohumeral Instability: Does Associated Postero-inferior Capsulolabral Repair Still Have a Role?. JOIO 56, 1906–1912 (2022). https://doi.org/10.1007/s43465-022-00701-9
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DOI: https://doi.org/10.1007/s43465-022-00701-9