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Long-Term Results of Arthroscopic Bankart Repair for Anterior Glenohumeral Instability: Does Associated Postero-inferior Capsulolabral Repair Still Have a Role?

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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.

References

  1. Balke, M., Shafizadeh, S., Bouillon, B., & Banerjee, M. (2016). Management of shoulder instability: The current state of treatment among German orthopaedic surgeons. Archives of Orthopaedic and Trauma Surgery, 136, 1717–1721.

    Article  Google Scholar 

  2. Owens, B. D., Harrast, J. J., Hurwitz, S. R., Thompson, T. L., & Wolf, J. M. (2011). Surgical trends in Bankart repair: An analysis of data from the American Board of Orthopaedic Surgery certification examination. American Journal of Sports Medicine, 39, 1865–1869.

    Article  Google Scholar 

  3. Chalmers, P. N., Mascarenhas, R., Leroux, T., Sayegh, E. T., Verma, N. N., Cole, B. J., & Romeo, A. A. (2015). Do arthroscopic and open stabilization techniques restore equivalent stability to the shoulder in the setting of anterior glenohumeral instability? A systematic review of overlapping meta-analyses. Arthroscopy, 31, 355–363.

    Article  Google Scholar 

  4. Harris, J. D., Gupta, A. K., Mall, N. A., Abrams, G. D., McCormick, F. M., Cole, B. J., Bach, B. R., Romeo, A. A., & Verma, N. N. (2013). Long-term outcomes after Bankart shoulder stabilization. Arthroscopy, 29, 920–933.

    Article  Google Scholar 

  5. Lenters, T. R., Franta, A. K., Wolf, F. M., Leopold, S. S., & Matsen, F. A. (2007). Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature. Journal of Bone and Joint Surgery. American Volume, 89, 244–254.

    Article  Google Scholar 

  6. Aboalata, M., Plath, J. E., Seppel, G., Juretzko, J., Vogt, S., & Imhoff, A. B. (2017). Results of arthroscopic Bankart repair for anterior-inferior shoulder instability at 13-year follow-up. American Journal of Sports Medicine, 45, 782–787.

    Article  Google Scholar 

  7. Castagna, A., Markopoulos, N., Conti, M., Delle Rose, G., Papadakou, E., & Garofalo, R. (2010). Arthroscopic bankart suture-anchor repair: Radiological and clinical outcome at minimum 10 years of follow-up. American Journal of Sports Medicine, 38, 2012–2016.

    Article  Google Scholar 

  8. Chapus, V., Rochcongar, G., Pineau, V., de Chou, É. S., & Hulet, C. (2015). Ten-year follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocation in young patients. Orthopaedics & Traumatology, Surgery & Research, 101, 889–893.

    Article  CAS  Google Scholar 

  9. Flinkkilä, T., Knape, R., Sirniö, K., Ohtonen, P., & Leppilahti, J. (2018). Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up. Knee Surgery, Sports Traumatology, Arthroscopy, 26, 94–99.

    Article  Google Scholar 

  10. Yapp, L. Z., Nicholson, J. A., & Robinson, C. M. (2019). Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder: Long-term follow-up of a randomized, double-blinded trial. Journal of Bone and Joint Surgery. American Volume, 102, 460–467.

    Article  Google Scholar 

  11. Murphy, A. I., Hurley, E. T., Hurley, D. J., Pauzenberger, L., & Mullett, H. (2019). Long-term outcomes of the arthroscopic Bankart repair: A systematic review of studies at 10-year follow-up. Journal of Shoulder and Elbow Surgery, 28, 2084–2089.

    Article  Google Scholar 

  12. Calvo, A., Martínez, A. A., Domingo, J., & Herrera, A. (2005). Rotator interval closure after arthroscopic capsulolabral repair: A technical variation. Arthroscopy, 21, 765.

    Article  Google Scholar 

  13. Cho, N. S., Yoo, J. H., Juh, H. S., & Rhee, Y. G. (2016). Anterior shoulder instability with engaging Hill-Sachs defects: A comparison of arthroscopic Bankart repair with and without posterior capsulodesis. Knee Surgery, Sports Traumatology, Arthroscopy, 24, 3801–3808.

    Article  Google Scholar 

  14. Cuéllar, R., Ruiz-Ibán, M. A., & Cuéllar, A. (2017). Anatomy and biomechanics of the unstable shoulder. Open Orthop J, 11, 919–933.

    Article  Google Scholar 

  15. Castagna, A., Borroni, M., Delle Rose, G., Markopoulos, N., Conti, M., Vinci, E., & Garofalo, R. (2009). Effects of posterior-inferior capsular plications in range of motion in arthroscopic anterior Bankart repair: A prospective randomized clinical study. Knee Surgery, Sports Traumatology, Arthroscopy, 17, 188–194.

    Article  Google Scholar 

  16. Westerheide, K. J., Dopirak, R. M., & Snyder, S. J. (2006). Arthroscopic anterior stabilization and posterior capsular plication for anterior glenohumeral instability: A report of 71 cases. Arthroscopy, 22, 539–547.

    Article  Google Scholar 

  17. Rowe, C. R., Patel, D., & Southmayd, W. W. (1978). The Bankart procedure: A long-term end-result study. Journal of Bone and Joint Surgery. American Volume, 60, 1–16.

    Article  CAS  Google Scholar 

  18. Sánchez, M., Cuéllar, R., García, A., & Albillos, J. (2000). Anterior stabilization of the shoulder by means of an artificial capsular reinforcement and arthroscopy—part I: Surgical technique. Journal of Long-Term Effects of Medical Implants, 10, 187–197.

    Google Scholar 

  19. Komnos, G. A., Banios, K., Liantsis, A., Alexiou, K., Varitimidis, S., Bareka, M., & Hantes, M. E. (2019). Results of arthroscopic Bankart repair in recreational athletes and laborers: A retrospective study with 5 to 14 years of follow-up. Orthopaedic Journal of Sports Medicine, 7, 2325967119881648.

    Article  Google Scholar 

  20. Zimmermann, S. M., Scheyerer, M. J., Farshad, M., Catanzaro, S., Rahm, S., & Gerber, C. (2016). Long-term restoration of anterior shoulder stability: A retrospective analysis of arthroscopic Bankart repair versus open Latarjet procedure. Journal of Bone and Joint Surgery. American Volume, 98, 1954–1961.

    Article  Google Scholar 

  21. Privitera, D. M., Bisson, L. J., & Marzo, J. M. (2012). Minimum 10-year follow-up of arthroscopic intra-articular Bankart repair using bioabsorbable tacks. American Journal of Sports Medicine, 40, 100–107.

    Article  Google Scholar 

  22. Plath, J. E., Aboalata, M., Seppel, G., Juretzko, J., Waldt, S., Vogt, S., & Imhoff, A. B. (2015). Prevalence of and risk factors for dislocation arthropathy: Radiological long-term outcome of arthroscopic Bankart repair in 100 shoulders at an average 13-year follow-up. American Journal of Sports Medicine, 43, 1084–1090.

    Article  Google Scholar 

  23. Chiang, E.-R., Wang, J.-P., Wang, S.-T., Hung, S.-C., Ma, H.-L., Liu, C.-L., & Chen, T.-H. (2010). Arthroscopic posteroinferior capsular plication and rotator interval closure after Bankart repair in patients with traumatic anterior glenohumeral instability—a minimum follow-up of 5 years. Injury, 41, 1075–1078.

    Article  Google Scholar 

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Authors and Affiliations

  1. Arthrosport Zaragoza, Avenida Ruiseñores 20, 50006, Zaragoza, Spain

    Pablo Carnero-Martín de Soto  & Ángel Calvo-Díaz

  2. Hospital Viamed Montecanal, Calle Franz Schubert 2, 500012, Zaragoza, Spain

    Pablo Carnero-Martín de Soto

  3. Arthrosport Levante, Avenida Ruiseñores 20, 50006, Zaragoza, Spain

    Néstor Zurita-Uroz

  4. Servicio de Cirugía Ortopédica y Traumatología, Hospital Regional Universitario de Málaga, Avenida de Carlos Haya 84, 29010, Málaga, Spain

    Iskandar Tamimi-Mariño

Authors
  1. Pablo Carnero-Martín de Soto
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  2. Néstor Zurita-Uroz
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  3. Iskandar Tamimi-Mariño
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  4. Ángel Calvo-Díaz
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Contributions

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.

Corresponding author

Correspondence to Pablo Carnero-Martín de Soto .

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Conflict of Interest

Pablo Carnero-Martín de Soto, Néstor Zurita-Uroz, Iskandar Tamimi Mariño, and Ángel Calvo Díaz declare that they have no conflict of interest.

Ethical Approval

The study protocol was approved by the Hospital Viamed Montecanal ethical committee (registry number 20201).

Informed Consent

Informed consent was obtained from all patients for being included in the study.

Research Involves Human and Animal Participants

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

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