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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
PAKISTAN

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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 , PAKISTAN Haseeb Hussain, FCPS, PAKISTAN Umair Ahmed, Fcps orthopedics , PAKISTAN

Ghurki Trust Teaching Hospital , Lahore , Punjab , PAKISTAN

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Anatomic Location

Knee

Diagnosis / Condition

Dislocation

Diagnosis Method

MRI

Treatment / Technique

Arthroscopy

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.

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.

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