2021 ISAKOS Biennial Congress ePoster
Higher Recurrence And Revision Rates With Arthroscopic Bankart Repair Compared To The Latarjet Procedure In Competitive Rugby Players With Glenohumeral Instability And A Glenoid Bone Loss < 20%
Luciano Rossi, PhD, Buenos Aires ARGENTINA
Ignacio Tanoira, MD PhD, Buenos Aires ARGENTINA
Ignacio Pasqualini, MD, Ciudad de Buenos Aires, Buenos Aires ARGENTINA
Tomás David Gorodischer, MD, Rosario, Santa Fe ARGENTINA
Maximiliano Ranalletta, MD, Buenos Aires, Buenos Aires ARGENTINA
Italian Hospital Buenos Aires, Ciudad de Buenos Aires, Buenos Aires, ARGENTINA
FDA Status Cleared
Summary
Higher Recurrence and Revision Rates with Arthroscopic Bankart Repair Compared to the Latarjet Procedure in Competitive Rugby Players With Glenohumeral Instability and a Glenoid Bone Loss < 20%
ePosters will be available shortly before Congress
Abstract
Background
There is a lack of evidence in the literature comparing outcomes between the arthroscopic Bankart repair and the Latarjet procedure in competitive rugby players with glenohumeral instability and a glenoid bone loss <20%.
Purpose
To compare return to sport, functional outcomes, and complications between the arthroscopic Bankart repair and the Latarjet procedure in competitive rugby players with glenohumeral instability and a glenoid bone loss <20%.
Study Design: Retrospective Cohort study; Level of evidence, 3.
Methods
Between June 2010 and February 2018 130 competitive rugby players with anterior shoulder instability were operated in our institution. There were 80 patients operated with the arthroscopic Bankart procedure and 50 with the Latarjet procedure. Return to sports, range of motion (ROM), the Rowe score, and the Athletic Shoulder Outcome Scoring System (ASOSS) were used to assess functional outcomes. Recurrences, reoperations and complications s were also evaluated.
Results
In the total population, the mean follow up was 40 months (range, 24-90 months) and the mean age was 24.2 years (range, 16-33 years). Ninety-two percent of patients were able to return to sports, 88% at their preinjury level of play. No significant difference in shoulder ROM was found between preoperative and postoperative results. The Rowe, and ASOSS scores showed statistical improvement after operation (P < .01). The Rowe score increased from a preoperative mean of 41.5 points to 91.1 points (P < .01). The ASSOS score improved significantly from a preoperative mean of 53.4 points to 93.4 points (P < .01). No significant difference in shoulder ROM and functional scores was found between the groups. There were 18 recurrences (14%). The rate of recurrences was 20% in the Bankart group and 4% in the Latarjet group (p=0.01). There were 14 reoperations (11%). The rate of reoperations was 16% in the Bankart group and 4% in the Latarjet group (p=0.01). There were 6 complications (5%). The rate of complications was 4% in the Bankart group and 6% in the Latarjet group (p=0.55).
Conclusion
In competitive rugby players with glenohumeral instability and a glenoid bone loss <20%, both, the arthroscopic Bankart repair and the Latarjet procedure, produced excellent functional outcomes with most athletes returning to sport at the same level they had before the injury. However, the Bankart procedure was associated with a significantly higher rate of recurrences (20% vs 4%) and reoperations (16% vs 4%) than the Latarjet procedure.