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. 2021 Apr 29;9(4):23259671211001775.
doi: 10.1177/23259671211001775. eCollection 2021 Apr.

Patient Outcomes and Fear of Returning to Sports After Arthroscopic Bankart Repair With Remplissage

Sijia Feng  1 , Mo Chen  1 , Jun Chen  1 , Hong Li  1 , Jiwu Chen  1 , Shiyi Chen  1
Affiliations

Patient Outcomes and Fear of Returning to Sports After Arthroscopic Bankart Repair With Remplissage

Sijia Feng et al. Orthop J Sports Med. .

Abstract

Background: Although Bankart repair with remplissage is commonly performed to treat anterior shoulder instability, there is limited information on specific outcomes or patients' fears regarding return to sports (RTS).

Purpose: To study recurrence rates, pain, shoulder function, active range of motion (ROM), RTS rate, and patients' fears and expectations for RTS after arthroscopic Bankart repair with remplissage for anterior shoulder instability. We compared these outcomes with those after Bankart repair alone.

Study design: Cohort study; Level of evidence, 3.

Methods: A retrospective cohort study was carried out between 2007 and 2017 among patients who underwent arthroscopic Bankart repair with remplissage (group BR) and Bankart repair alone (group B). At the final follow-up, outcomes including recurrence, pain, shoulder function, active ROM, RTS rate, and fear toward RTS were assessed. The specific outcomes for RTS were evaluated based on 3 levels: return to normal life, RTS at any level (RTSA), and RTS at previous level (RTSP).

Results: A total of 70 patients were included (29 in group BR and 41 in group B) with a mean 67.2 months of follow-up. Group BR demonstrated a significantly lower recurrence rate than did group B (0 vs 22.0%, respectively; P = .007) as well as higher postoperative Rowe score (92.8 ± 7.1 vs 83.3 ± 16.2, respectively; P = .005). There were no differences between the groups in postoperative visual analog scale for pain score, American Shoulder and Elbow Surgeons score, Oxford Shoulder Instability Score, or active ROM. The rates of RTSA (100% vs 84.2%; P = .03) and RTSP (77.8% vs 50.0%; P = .02) were higher in group BR than in group B, respectively, and significantly fewer patients in group BR reported fear of RTS (40.7% vs 63.2%; P = .04).

Conclusion: In this study, recurrence rate, pain, shoulder function, active ROM, and RTS rate were satisfactory after arthroscopic Bankart repair with remplissage. Patients who underwent this procedure reported less fear toward RTS and higher rates of RTSA and RTSP than did those who undergo Bankart repair alone.

Keywords: Bankart repair; anterior shoulder instability; arthroscopy; remplissage; return to sport.

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Conflict of interest statement

One or more of the authors has declared the following potential conflict of interest or source of funding: This study was supported by the National Key R&D Program of China (2016YFC1100300), National Natural Science Foundation of China (grants 81772339, 81972129, 81911530136, 81811530750, and 82072521), Key Clinical Medicine Center of Shanghai (2017ZZ01006), Sanming Project of Medicine in Shenzhen (SZSM201612078), Shanghai Rising-Star Project (18QB1400500), Introduction Project of Clinical Medicine Expert Team for Suzhou (SZYJTD201714), Development Project of Shanghai Peak Disciplines–Integrative Medicine (20180101), Shanghai Talent Development Funding Scheme (2020080), and Shanghai Committee of Science and Technology (19441901600 and 19441902000). AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.

Figures

Figure 1.
Figure 1.
Sports played preoperatively by study group. B, Bankart repair alone; BR, Bankart repair with remplissage.
See this image and copyright information in PMC

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References

    1. Abdul-Rassoul H, Galvin JW, Curry EJ, Simon J, Li X. Return to sport after surgical treatment for anterior shoulder instability: a systematic review. Am J Sports Med. 2019;47(6):1507–1515. - PubMed
    1. Argintar E, Heckmann N, Wang L, Tibone JE, Lee TQ. The biomechanical effect of shoulder remplissage combined with Bankart repair for the treatment of engaging Hill-Sachs lesions. Knee Surg Sports Traumatol Arthrosc. 2014;24(2):585–592. - PubMed
    1. Baker CL, Uribe JW, Whitman C. Arthroscopic evaluation of acute initial anterior shoulder dislocations. Am J Sports Med. 1990;18(1):25–28. - PubMed
    1. Balg F, Boileau P. The instability severity index score: a simple preoperative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br. 2007;89:1470–1477. - PubMed
    1. Bankart ASB. Recurrent or habitual dislocation of the shoulder-joint. Br Med J. 1923;2:1132–1133. - PMC - PubMed

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