CC2023: Clinical Outcomes of Arthroscopic Bony Bankart Repair for Anterior Instability of the Shoulder: A Systematic Review (August 2023)-Clinical Outcomes of Arthroscopic Bony Bankart Repair for Anterior Instability of the Shoulder: A Systematic Review (August 2023)

Clinical Outcomes of Arthroscopic Bony Bankart Repair for Anterior Instability of the Shoulder: A Systematic Review (August 2023)

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This systematic review examines the clinical outcomes of arthroscopic bony Bankart repair for anterior shoulder instability, a condition often resulting from traumatic shoulder dislocations. The review, conducted by Aaron Z. Chen and colleagues, pooled data from 21 studies, comprising 769 patients, mostly male, with a mean age of 26.7 years and an average follow-up duration of 42.7 months. <br /><br />The main findings indicate that arthroscopic bony Bankart repair significantly improves functional outcomes, decreases recurrence rates of shoulder instability, and supports a high return-to-sports rate. Specifically, the commonly reported Rowe score for functional outcomes improved from 41.9 preoperatively to 90.8 postoperatively. The overall recurrence rate of shoulder instability was 11.9%, and the return to sports rate was 91.0%.<br /><br />Surgical techniques varied, with most studies employing the single-row method described by Porcellini in 2002, and fewer using the double-row bony Bankart bridge technique by Millett and Braun (2009), or other methods. Postoperative evaluations frequently utilized advanced imaging, with many studies demonstrating high rates of bone fragment union, ranging widely depending on technique and follow-up duration.<br /><br />While these results are promising, suggesting that arthroscopic bony Bankart repair is effective for managing anterior shoulder instability, the authors recommend larger, prospective studies to firm up these findings. Consistent use of outcome measures and standardized definitions of recurrence and return to sports are necessary for more robust data. <br /><br />Future research should also focus on comparing different surgical techniques directly and determining the optimal bone loss threshold for selecting arthroscopic intervention. These steps will help establish clearer guidelines and improve patient outcomes in shoulder instability management.

Keywords

arthroscopic bony Bankart repair

anterior shoulder instability

clinical outcomes

functional outcomes

recurrence rates

return to sports

surgical techniques

bone fragment union

prospective studies

shoulder dislocations