2025 ISAKOS Congress in Munich, Germany

2025 ISAKOS Biennial Congress Paper


Significantly Higher Return to Sport at the Same Level and Lower Recurrences With the Latarjet Procedure Than With the Bankart Repair in Martial Art Athletes With Glenohumeral Instability

Rodrigo Nicolás Brandariz, MD, San isidro, Buenos Aires ARGENTINA
Luciano Rossi, PhD, Buenos Aires ARGENTINA
Ignacio Pasqualini, MD, Ciudad de Buenos Aires, Buenos Aires ARGENTINA
Ignacio Tanoira, MD PhD, Buenos Aires ARGENTINA
Maximiliano Ranalletta, MD, Buenos Aires, Buenos Aires ARGENTINA

Hospital Italiano de Buenos Aires, Buenos Aires, Buenos Aires, ARGENTINA

FDA Status Not Applicable

Summary

Bankart vs Latarjet in Martial Arts Athletes

Abstract

Background

There is a lack of evidence in the literature comparing outcomes between the arthroscopic Bankart repair and the Latarjet procedure in competitive martial arts athletes (MAA) with glenohumeral instability.

Purpose

To compare return to sport, functional outcomes, and complications between the arthroscopic Bankart repair and the Latarjet procedure in competitive MAA with glenohumeral instability.
Study Design: Retrospective Cohort study; Level of evidence, 3.

Methods

Between January 2008 and February 2021, 60 competitive MAA with anterior shoulder instability were operated in our institution. The first 28 patients were operated on with the arthroscopic Bankart procedure and the other 32 with an Open Latarjet procedure. Return to sports, range of motion (ROM), the Rowe score, the visual analoge scale and the Athletic Shoulder Outcome Scoring System (ASOSS) were used to assess functional outcomes. Recurrences, reoperations and complications were also evaluated.

Results

Among the 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. Eighty-nine percent of patients in the Bankart group and 87% in the Latarjet group returned to compete at the same level (P=0.788). No significant difference in shoulder ROM was found between preoperative and postoperative results. Both groups showed statistical improvement in the Rowe ad ASOSS scores after operation (P < .01). No significant difference in functional scores was found between the groups The Rowe score in the Bankart group increased from a preoperative mean of 41 (±13) points to 89.7 points postoperatively and in the Latarjet group, increased from a preoperative mean of 42.5 (±14) points to 88.4 points postoperatively (P=0.95). The ASOSS score in the Bankart group increased from a preoperative mean of 53.3 (±3) points to 93.3 (±6) points postoperatively and in the Latarjet group, increased from a preoperative mean of 53.1 (±3) points to 93.7 (±4) points postoperatively, (P=0.95). 18 recurrences and 14 reoperations were recorded (14% and 11% respectively). The rate of recurrences was 20% in the Bankart group and 4% in the Latarjet group (p=0.01). 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). The proportion of postoperative osteoarthritis was 10% in the Bankart group (8/80 patients) and 12% (6/50) in the Latarjet group (p= 0.55).”

Conclusion

In competitive MAA 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.