Producción CyT
Artículo
Autoría
ROSSI, LUCIANO ANDRÉS
;
Brandariz, Rodrigo
;
Pasqualini, Ignacio
;
Turan, Oguz
;
Larrague, Catalina
;
Tanoira, Ignacio
;
Ranalletta, Maximiliano
Fecha
2025
Editorial y Lugar de Edición
W B SAUNDERS CO-ELSEVIER INC
Revista
ARTHROSCOPY (THE JOURNAL OF ARTHROSCOPIC & RELATED SURGERY),
vol. 41
(pp. 5038-5045)
W B SAUNDERS CO-ELSEVIER INC
Resumen
Información suministrada por el agente en
SIGEVA
Purpose: To compare return to sport, functional outcomes, and complications between the arthroscopic Bankart repair without remplissage and the Latarjet procedure in competitive martial arts (MA) athletes with glenohumeral instability.Methods: Between January 2008 and February 2021, competitive MA athletes with anterior shoulder instability were operated in our institution. The first group of patients were operated on with the arthroscopic isolated Bankart procedure and the other with an open L...
Purpose: To compare return to sport, functional outcomes, and complications between the arthroscopic Bankart repair without remplissage and the Latarjet procedure in competitive martial arts (MA) athletes with glenohumeral instability.Methods: Between January 2008 and February 2021, competitive MA athletes with anterior shoulder instability were operated in our institution. The first group of patients were operated on with the arthroscopic isolated Bankart procedure and the other with an open Latarjet procedure. Return to sports, range of motion, the Rowe score, the visual analog scale, and the Athletic Shoulder Outcome Scoring System (ASOSS) were used to assess functional outcomes using the minimal clinically important difference for Rowe and the patient acceptable symptomatic state (PASS) for the Rowe and ASOSS score. Recurrences, reoperations, and complications also were evaluated with a minimum follow-up of 36 months.Results: The mean follow-up was 68.7 months (range, 36-96 months) and the mean age was 24.2 years (range, 16-33 years). Ninety-two percent of patients were able to return to sports, 88% at their preinjury level of play. Sixty-one percent of patients in the Bankart group and 81% in the Latarjet group returned to compete at the same level (P = .021). No significant difference in functional scores and shoulder range of motion were found between the groups. In addition, the percentage of patients who surpassed the PASS threshold was similar. For the Bankart group, 92% achieved the PASS for Rowe scores and 85% for ASOSS scores. In the Latarjet group, the corresponding percentages were 88% and 81%. Nine recurrences and 7 reoperations were recorded. The rate of recurrences was 25% (7/28) in the Bankart group and 6% (2/32) in the Latarjet group (P = .01). The rate of reoperations was 18% (5/28) in the Bankart group and 6% (2/32) in the Latarjet group (P = .07). The rate of complications was 7% (2/28) in the Bankart group and 13% (4/32) in the Latarjet group (P = .14). these included biceps tendinitis and subacromial bursitis in the Bankart group (both resolved with conservative management), asymptomatic graft nonconsolidation in 3 patients who underwent Latarjet and resumed sports, and 1 patient who underwent Latarjet who developed a hematoma successfully treated with sling immobilization.Conclusions: In competitive MA athletes with glenohumeral instability and a glenoid bone loss <20%, both, the arthroscopic Bankart repair and the Latarjet procedure, produced excellent functional outcomes with most athletes returning to sports. However, the Bankart repair without remplissage was associated with a greater rate of recurrences and reoperations, as well as lower rates of return to the same level of competition than the Latarjet procedure.
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Level IIIretrospective cohort study