2023 ISAKOS Biennial Congress Paper
Similar Clinical, Return To Sports, Recurrence and Revison Outcomes Between Female and Male Athletes Following Arthroscopic Bankart Repair
Ignacio Pasqualini, MD, Ciudad de Buenos Aires, Buenos Aires ARGENTINA
Luciano Rossi, PhD, Buenos Aires ARGENTINA
Rodrigo Nicolás Brandariz, MD, San isidro, Buenos Aires ARGENTINA
Ignacio Tanoira, MD PhD, Buenos Aires ARGENTINA
Patrick J. Denard, MD, Medford, OR UNITED STATES
Maximiliano Ranalletta, MD, Buenos Aires, Buenos Aires ARGENTINA
Hospital Italiano de Buenos Aires, CABA, Buenos Aires, ARGENTINA
FDA Status Not Applicable
Summary
Following arthroscopic bankart repair, female and male athletes have similar clinical, return to sports, recurrence, and revision outcomes.
Abstract
Purpose
To compare return to sports, functional outcomes, and recurrences rates between female and male athletes following arthroscopic Bankart repair (ABR).
Methods
A retrospective comparative study was performed between male and female who underwent an ABR between January 2008 and December 2019. Sports practiced primarily by men in our practice (including rugby, soccer, boxing and martial arts) were excluded. Functional outcomes included the Rowe score, visual analogue scale (VAS) for pain, and shoulder-dependent sports ability measured with the Athletic Shoulder Outcome Scoring System (ASOSS). Return to sport, recurrence, and revisions were evaluated. Additionally, we assessed the period (months) between surgery and recurrence events.
Results
A total of 58 female and 106 male patients were available for analysis at a median follow-up of 60 (IQR 36-84) months. Ninety-one percent of the patients (n=150) returned to sports and 84% (n=126) returned to their pre-injury level at a median of 6 months (IQR 5-8) postoperative. There were no differences in the rate of return to sports between females and males (91 vs. 92% respectively, p = 0.997). There were no differences between the groups regarding postoperative functional outcomes, with the majority of patients achieving the minimal clinically significant difference ( ROWE: 98% female and 99% male p 0.584; ASOSS: 100% female and 99% male p 0.646). .The overall recurrence rate was 9.7 % (n=16), with a rate of 10.3 % (n=6) in female and 9.4% (n=10) in male athletes (p = 0.851). Time to event analysis showed that the median time to recurrence was 48 months in both groups (p = 0.848). The overall revision rate was 3% (n=4), without significant differences between groups (p 0.556).
Conclusion
When compared within similar sports, there does not appear to be sex-related differences in functional outcomes, recurrence, or return to play following ABR.