2025 ISAKOS Biennial Congress ePoster
Arthroscopic Bankart Repair vs Open Latarjet Procedure: A Comparative study of post-op Re-dislocation and Range-Of-Motion
Ammar Dogar, MBBS, FCPS(Ortho), FACS, FICS , Lahore PAKISTAN
Haseeb Hussain, FCPS, Lahore PAKISTAN
Umair Ahmed, Fcps orthopedics , Lahore, Punjab PAKISTAN
Ghurki Trust Teaching Hospital , Lahore , Punjab , PAKISTAN
FDA Status Not Applicable
Summary
Arthroscopic Bankart repair is associated with a higher risk of short-term postoperative redislocations compared to the open Latarjet procedure. Patients should be informed of these risks when considering their surgical options.
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Abstract
Introduction
Recurrent anterior shoulder instability is commonly treated with either arthroscopic Bankart repair or open Latarjet procedure.
Objectives: To compare the post-op Re-dislocation and Range-Of-Motion outcomes of patients undergoing arthroscopic Bankart repair versus the open Latarjet procedure for recurrent shoulder dislocations.
Methods
We retrospectively analyzed the different clinical outcomes (post-op Re-dislocation and Range-Of-Motion) of patients who underwent either arthroscopic Bankart repair or open Latarjet procedure between 2016 and 2022, with a minimum follow-up of 2 years.
Results
Of the 85 patients (75 men, 10 women) in the Bankart group and 82 patients (all men) in the Latarjet group, 87.5% of the Latarjet patients and 92% of Bankart repair patients achieved full range of motion (ROM) postoperatively. No dislocations occurred in the Latarjet group, while 4 patients (4.8%) in the Bankart group had postoperative dislocations. Significant differences were noted in the Constant Score between the two groups. For the Latarjet procedure, the Constant Score improved from a mean of 39.75 (SD = 15.51) preoperatively to 60.38 (SD = 38.28) postoperatively (p = .096), indicating a notable increase in shoulder function and stability. In contrast, the Bankart repair group saw an improvement from a mean Constant Score of 51.80 (SD = 13.59) preoperatively to 85.00 (SD = 11.21) postoperatively (p < .001), reflecting a substantial enhancement in shoulder function.
Conclusion
Arthroscopic Bankart repair is associated with a higher risk of short-term postoperative redislocations compared to the open Latarjet procedure. Patients should be informed of these risks when considering their surgical options.