Summary

Apprehension and Return to Sports in patients following Arthroscopic Bankart Repair Versus Open Latarjet Procedure

Abstract

Introduction

Recurrent anterior shoulder instability is commonly treated with either arthroscopic Bankart repair or the Latarjet procedure.
Objectives: To compare the apprehension, Return to Sports and other functional outcomes of patients who underwent arthroscopic Bankart repair versus those who had the Latarjet procedure for recurrent shoulder dislocations.

Methods

We conducted a retrospective analysis of consecutive patients who underwent either arthroscopic Bankart repair or Latarjet procedure between 2016 and 2022, with a minimum follow-up period of 2 years.

Results

Of the 70 patients (65 men, 5 women) in the Bankart group and 70 patients (all men) in the Latarjet group, Apprehension about shoulder stability was reported by 12.5% of Latarjet patients, compared to 33.3% in the Bankart repair group. Return to sports was higher among Latarjet patients (87.5%) than Bankart repair patients (66.7%). Significant differences were observed in the Oxford Shoulder Score and shoulder pain levels between the groups. The Latarjet group experienced an improvement in the Oxford Shoulder Score from a mean of 25.50 (SD = 6.41) preoperatively to 42.88 (SD = 2.70) postoperatively, reflecting a substantial enhancement in shoulder-related quality of life (p < .001). In the Bankart repair group, the Oxford Shoulder Score increased from a mean of 31.53 (SD = 3.38) preoperatively to 43.13 (SD = 3.02) postoperatively, indicating significant functional recovery (p < .001). The Latarjet group reported a decrease in average shoulder pain from 44.25 (SD = 33.40) preoperatively to 12.25 (SD = 21.02) postoperatively (p = .099). In contrast, the Bankart repair group had a higher average preoperative pain score of 69.60 (SD = 4.26), which significantly decreased to 6.47 (SD = 12.31) postoperatively (p < .001).

Conclusion

The Latarjet procedure generally resulted in better outcomes in terms of shoulder stability and return to sports compared to the arthroscopic Bankart repair. Both procedures significantly improved shoulder function and reduced pain, but the Latarjet procedure demonstrated superior results in reducing apprehension and facilitating return to sports.