Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr 15:8:97-105.
doi: 10.2147/OAJSM.S106983. eCollection 2017.

Long-term outcomes of the Bankart and Latarjet repairs: a systematic review

Natalie C Rollick  1 , Yohei Ono  1   2 , Hafeez M Kurji  3 , Atiba A Nelson  1 , Richard S Boorman  1 , Gail M Thornton  1   4 , Ian Ky Lo  1
Affiliations

Long-term outcomes of the Bankart and Latarjet repairs: a systematic review

Natalie C Rollick et al. Open Access J Sports Med. .

Abstract

The most common surgical techniques for the treatment of recurrent anterior shoulder instability include the arthroscopic Bankart repair, the open Bankart repair and the open Latarjet procedure. The purpose of this study was to evaluate and compare the long-term outcomes following these procedures. A systematic review of modern procedures with a minimum follow-up of 5 years was completed. The objective outcome measures evaluated were post-operative dislocation and instability rate, the Rowe score, radiographic arthritis and complications. Twenty-eight studies with a total of 1652 repairs were analyzed. The estimated re-dislocation rate was 15.1% following arthroscopic Bankart repair, 7.7% following open Bankart repair and 2.7% following Latarjet repair, with the comparison between arthroscopic Bankart and open Latarjet reaching statistical significance (p<0.001). The rates of subjective instability and radiographic arthritis were consistently high across groups, with no statistical difference between groups. Estimated complication rates were statistically higher in the open Latarjet repair (9.4%) than in the arthroscopic Bankart (0%; p=0.002). The open Latarjet procedure yields the most reliable method of stabilization but the highest complication rate. There are uniformly high rates of post-operative subjective instability symptoms and radiographic arthritis at 5 years regardless of procedure choice.

Keywords: Bankart; Latarjet; instability; long-term outcomes.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Systemic review algorithm using PRISMA guidelines. Abbreviation: PRISMA, Preferred Reporting Items for Systemic Reviews and Meta-Analyses.
See this image and copyright information in PMC

References

    1. Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92(3):542–549. - PubMed
    1. Bankart ASB. Recurrent dislocation of the shoulder-joint. Br Med J. 1925;2(3386):978. - PMC - PubMed
    1. Rowe CR. Acute and recurrent anterior dislocations of the shoulder. Orthop Clin North Am. 1980;11(2):253–270. - PubMed
    1. Kandziora F, Jager A, Bischof F, Herresthal J, Starker M, Mittlmeier T. Arthroscopic labrum refixation for post-traumatic anterior shoulder instability: suture anchor versus transglenoid fixation technique. Arthroscopy. 2000;16(4):359–366. - PubMed
    1. Castagna A, Markopoulos N, Conti M, Delle Rose G, Papadakou E, Garofalo R. Arthroscopic Bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med. 2010;38(10):2012–2016. - PubMed

LinkOut - more resources