Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes
Although the frequency of arthroscopic revision surgery is increasing in patients with recurrent dislocation after a primary shoulder stabilization, the literature describing arthroscopic revision Bankart repair has been limited. Preferred reporting items for systematic meta-analyses guidelines were...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/11/3418 |
| _version_ | 1797549857249951744 |
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| author | Chang-Jin Yon Chul-Hyun Cho Du-Han Kim |
| author_facet | Chang-Jin Yon Chul-Hyun Cho Du-Han Kim |
| author_sort | Chang-Jin Yon |
| collection | DOAJ |
| description | Although the frequency of arthroscopic revision surgery is increasing in patients with recurrent dislocation after a primary shoulder stabilization, the literature describing arthroscopic revision Bankart repair has been limited. Preferred reporting items for systematic meta-analyses guidelines were followed by utilizing PubMed, EMBASE, Scopus, and Cochrane Library databases. Keywords included shoulder dislocation, anterior shoulder instability, revision surgery, stabilization, and arthroscopic Bankart repair. Quality assessments were performed with criteria from the methodological index for nonrandomized studies (MINORS). A total of 14 articles were included in this analysis. The mean MINORS score was 12.43. A total of 339 shoulders (337 patients) were included (281 males and 56 females). The mean follow-up period was 36.7 months. Primary surgeries were as follows: arthroscopic procedures (<i>n</i> = 172, 50.7%), open procedure (<i>n</i> = 87, 25.7%), and unknown (<i>n</i> = 80, 23.6%). The mean rate of recurrent instability after revision arthroscopic Bankart repair was 15.3% (<i>n</i> = 52), and an additional re-revision procedure was needed in 6.5% of cases (<i>n</i> = 22). Overall, there were 18.0% (<i>n</i> = 61) of complications reported. This systematic review suggests that arthroscopic revision Bankart repair can lead to an improvement in functional outcomes and reasonable patient satisfaction with proper patient selection. |
| first_indexed | 2024-03-10T15:20:20Z |
| format | Article |
| id | doaj.art-03beff50e840413db566c486a4325fc7 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T15:20:20Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-03beff50e840413db566c486a4325fc72023-11-20T18:28:37ZengMDPI AGJournal of Clinical Medicine2077-03832020-10-01911341810.3390/jcm9113418Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical OutcomesChang-Jin Yon0Chul-Hyun Cho1Du-Han Kim2Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, KoreaDepartment of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, KoreaDepartment of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, KoreaAlthough the frequency of arthroscopic revision surgery is increasing in patients with recurrent dislocation after a primary shoulder stabilization, the literature describing arthroscopic revision Bankart repair has been limited. Preferred reporting items for systematic meta-analyses guidelines were followed by utilizing PubMed, EMBASE, Scopus, and Cochrane Library databases. Keywords included shoulder dislocation, anterior shoulder instability, revision surgery, stabilization, and arthroscopic Bankart repair. Quality assessments were performed with criteria from the methodological index for nonrandomized studies (MINORS). A total of 14 articles were included in this analysis. The mean MINORS score was 12.43. A total of 339 shoulders (337 patients) were included (281 males and 56 females). The mean follow-up period was 36.7 months. Primary surgeries were as follows: arthroscopic procedures (<i>n</i> = 172, 50.7%), open procedure (<i>n</i> = 87, 25.7%), and unknown (<i>n</i> = 80, 23.6%). The mean rate of recurrent instability after revision arthroscopic Bankart repair was 15.3% (<i>n</i> = 52), and an additional re-revision procedure was needed in 6.5% of cases (<i>n</i> = 22). Overall, there were 18.0% (<i>n</i> = 61) of complications reported. This systematic review suggests that arthroscopic revision Bankart repair can lead to an improvement in functional outcomes and reasonable patient satisfaction with proper patient selection.https://www.mdpi.com/2077-0383/9/11/3418shoulderBankartdislocationinstabilityrevisionarthroscopy |
| spellingShingle | Chang-Jin Yon Chul-Hyun Cho Du-Han Kim Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes Journal of Clinical Medicine shoulder Bankart dislocation instability revision arthroscopy |
| title | Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes |
| title_full | Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes |
| title_fullStr | Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes |
| title_full_unstemmed | Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes |
| title_short | Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes |
| title_sort | revision arthroscopic bankart repair a systematic review of clinical outcomes |
| topic | shoulder Bankart dislocation instability revision arthroscopy |
| url | https://www.mdpi.com/2077-0383/9/11/3418 |
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