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Recurrence of Arthroscopic Bankart Remplissage Reconstruction of Antero-inferior Shoulder Instability: Comparison between Collision vs. Non-Collision Athletes


Pablo A. Narbona, MD
ARGENTINA

Recurrence of Arthroscopic Bankart Remplissage Reconstruction of Antero-inferior Shoulder Instability: Comparison between Collision vs. Non-Collision Athletes

Pablo A. Narbona, MD, ARGENTINA Gabriel Arce, MD, ARGENTINA Manuel Olmos, MD, ARGENTINA Rafael Norberto Martinez Gallino, MD, ARGENTINA

Sanatorio Allende, Córdoba, Córdoba, ARGENTINA

2021 Congress   ePoster Presentation     Not yet rated

 

Anatomic Location

Shoulder Glenohumeral

Diagnosis / Condition

Instability

Treatment / Technique

Arthroscopy

Patient Populations

Sport Specific Population

Anatomic Structure

Capsuloligamentous Complex Labrum

Sports Medicine

Outcome Studies

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Summary: We compare recurrence rate of Arthroscopic Bankart remplissage technique between collision vs non-collision athletes and there was not significant difference in between groups, so we conclude that the arthroscopic repair technique with Bankart remplissage for anterior inferior shoulder instability it is a viable procedure in collision athletes, with a low recurrence rate.

Introduction

Arthroscopic reconstruction of antero-inferior shoulder instability is usually indicated in athlete’s population. Some studies show a high recurrence rate in collision athletes, while others show that there is no difference in the recurrence rate between collision and non-collision athletes. The aim of this study is to assess the recurrence rate of arthroscopic reconstruction of antero-inferior shoulder instability with Bankart remplissage technique in collision athletes. Having as a secondary purpose the comparison with non-collision athletes. Methods: A retrospective case series study, using for the analysis a prospective collection database. Patients undergoing arthroscopic reconstruction of antero-inferior shoulder instability with Bankart remplissage technique between January 2006 and December 2014 were analyzed. Patients between 18 to 25 years old, collision and non-collision athletes, in whom arthroscopic reconstruction of antero-inferior shoulder instability was performed, with a minimum follow-up of 5 years were included. In the analyzed period, 814 arthroscopic reconstructions of shoulder instability were performed, of which 369 patients we consider as pure antero-inferior shoulder instability and whose reconstruction was performed with anchors with fiberwire sutures (Arthrex inc,), 182 patients were outside the age range. Of the 187 patients between 18 and 25 years of age, 11 patients were excluded due to revision surgeries, 7 dues to bone defects greater than 25%, 5 patients due to associated rotator cuff injuries, one patient due to death, and 30 for insufficient follow up. One hundred thirty-three patients met the inclusion criteria. We divided in two groups. Group A collision athletes, 47 (35.33%) patients and Group B 86 (64.66%) patients non-collision athletes. We consider recurrence patients who had a new episode of shoulder dislocation confirmed by radiography, including cases of subluxation and patients who presented positive apprehension or relocation test. The recurrence rate was assessed and the results were compared between collision and non-collision athletes. A P value <0.05 was considered statistically significant. Results: One hundred thirty-three patients met the inclusion criteria, mean follow-up of 101.97 months (8.49 years) and a mean age of 21.64 years (range 18 to 25), 128 (96.24%) were male and 5 (3.75%) female. Of the total (133 patients), the recurrence rate was 9.77% (13 patients). Of the 47 patients in group A had a recurrence rate of 12.76% (6 patients), while 7 (8.13%) of the 86 patients of the group B recurred. Of the 13 patients considered recurrence, 9 (69.3%) recurred with dislocation, 6 of them corresponded to group A and 3 to group B, while 4 (30.4%) patients recurred with subluxation or a positive apprehension or relocation test on physical examination corresponded to group B. There was no statistically significant difference in the comparison of recurrence rate between the groups with a P value = 0.53 and Chi square = 0.74. Conclusion: The arthroscopic repair with Bankart remplissage technique for anterior inferior shoulder instability constitutes a viable procedure in collision athletes, with a low recurrence rate and no significant differences with non-collision athletes. Level of Evidence: IV Key Words: Arthroscopic Reconstruction, Recurrence, collision vs non-collision athletes.

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