Purpose
To provide an update of recent literature with a specialized focus on clinical outcomes
following arthroscopic revision Bankart repair (ARBR) by performing a systematic review
of all available literature published between 2013 and 2020.
Methods
A literature search reporting clinical outcomes after ARBR was performed. Criteria
for inclusion consisted of original studies; Level of Evidence of I–IV; studies focusing
on clinical outcomes after ARBR published between January 1, 2013, and January 4,
2021; studies reporting recurrent dislocation or instability rate after ARBR; reoperation/revision
following ARBR, return to sport rates following ARBR; and patient-reported outcomes.
The primary outcomes of interest were failure defined as recurrent instability or
dislocation, return to sport rates, and patient-reported outcomes at follow-up.
Results
A large proportion of patients undergoing arthroscopic revision Bankart repair were
male, ranging between 67.7% and 93.8%. Failure rate and return to sports rate ranged
between 6.1% and 46.8% and 25.9% and 88.3%, respectively, when patients with significant
or greater than 20% glenoid bone loss was excluded. Patient-reported outcome scores,
which included American Shoulder and Elbow Surgeons, Simple Shoulder Test, and visual
analog scale, saw significant improvement over mean follow-up of ranging 21.64 to
60 months.
Conclusions
Both the failure rate and RTS rates after ARBR had a wide range, given the heterogeneity
of the studies included, which varied in patient selection criteria pertaining to
patients with greater than 20% glenoid bone. Although there have been advancements
in arthroscopic techniques and a trend favoring arthroscopic stabilization procedures,
there is a lack of consensus in recent literature for careful patient selection criteria
that would minimize failure rates and maximize RTS rates after ARBR.
Level of Evidence
Level IV, a systematic review of Level III-IV studies.
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Article info
Publication history
Published online: April 07, 2022
Accepted:
March 15,
2022
Received:
October 6,
2021
Footnotes
The authors report the following potential conflicts of interest or sources of funding: S.C.S. reports other from Lima USA, Medacta, and Wright Medial Technology, outside the submitted work. N.H. reports other from Tornier, outside the submitted work. J.E.F. reports other from Arthrex and Smith & Nephew, outside the submitted work. B.M.S. reports other from Nova Science Publishers, outside the submitted work. ICMJE author disclosure forms are available for this article online, as supplementary material.
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© 2022 by the Arthroscopy Association of North America
