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
. 2023 Sep;31(9):4052-4059.
doi: 10.1007/s00167-023-07453-5. Epub 2023 May 22.

Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of return to sports after coracoid transfer

Qingfa Song #  1 , Shuhan Zhang #  1 , Jucheng Bai  1 , Xu Cheng  1 , Hao Luo  1 , Zhenxing Shao  2 , Guoqing Cui  3
Affiliations

Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of return to sports after coracoid transfer

Qingfa Song et al. Knee Surg Sports Traumatol Arthrosc. 2023 Sep.

Abstract

Purpose: This study aims to determine the rate of different levels of return to sports (RTS) in athletes undergoing the modified arthroscopic Bristow procedure and the factors associated with the level of RTS.

Methods: The study was performed retrospectively on patients with traumatic anterior shoulder instability who underwent the modified arthroscopic Bristow procedure with a minimum follow-up of 2 years. The RTS rate, the level of return and the timing of return were assessed. Additionally, factors such as preoperative basic information, clinical outcomes, graft position, graft healing and graft absorption were analysed to investigate their correlation with the level of RTS. Multivariate regression models were used to evaluate the factors affecting the level of RTS.

Results: In total, this study included 182 shoulders of 177 athletes undergoing the modified arthroscopic Bristow procedure. Of these patients, 142 (78.0%) shoulders of 137 athletes were enrolled, with a mean of 3.3-year follow-up. At the final follow-up, 134 (94.4%) shoulders were able to RTS, 123 (86.6%) shoulders were able to RTS to the pre-injury level, 52 (36.6%) shoulders could be completely "forgotten" without any psychological barrier during exercise. The multivariate logistic regression analysis identified the variable associated with RTS at the pre-injury level as previously failed arthroscopic Bankart repair (p < 0.001). As for the "forgetting" operated shoulder, the duration from first dislocation to surgery was a significant independent predictor (p = 0.034).

Conclusion: Although a large majority of athletes were able to RTS at the pre-injury level after the modified arthroscopic Bristow procedure, about two-thirds of the athletes felt difference in shoulders on both sides and could not completely "forget" the operated shoulder during exercise. Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of RTS after the modified arthroscopic Bristow procedure.

Level of evidence: IV.

Keywords: Athlete; Bristow; Cuistow; Latarjet; Return to play; Return to sports.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. An VV, Sivakumar BS, Phan K, Trantalis J (2016) A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Shoulder Elbow Surg 25:853–863 - DOI - PubMed
    1. Baverel L, Colle PE, Saffarini M, Anthony Odri G, Barth J (2018) Open Latarjet procedures produce better outcomes in competitive athletes compared with recreational athletes: a clinical comparative study of 106 athletes aged under 30 years. Am J Sports Med 46:1408–1415 - DOI - PubMed
    1. Belangero PS, Lara PHS, Figueiredo EA, Andreoli CV, de Castro PA, Ejnisman B et al (2021) Bristow versus Latarjet in high-demand athletes with anterior shoulder instability: a prospective randomized comparison. JSES Int 5:165–170 - DOI - PubMed - PMC
    1. Blackman AJ, Krych AJ, Kuzma SA, Chow RM, Camp C, Dahm DL (2014) Results of revision anterior shoulder stabilization surgery in adolescent athletes. Arthroscopy 30:1400–1405 - DOI - PubMed
    1. Calvo E, Luengo G, Morcillo D, Foruria AM, Valencia M (2021) Revision arthroscopic Bankart repair versus arthroscopic Latarjet for failed primary arthroscopic stabilization with subcritical bone loss. Orthop J Sports Med 9:23259671211001810 - DOI - PubMed - PMC