Retrospective paired study of 186 shoulders comparing open Latarjet coracoid transfer to arthroscopic Bankart repair for recurrent traumatic anterior shoulder instability, examining recurrence rates, timing of failure, risk factors, and patient-reported outcomes at minimum 4-year follow-up (mean 6 years).
When evaluating a patient for anterior shoulder stabilization, use the three Bankart failure predictors — age under 20, competitive sport participation, and passive external rotation over 85° on the contralateral side — to risk-stratify before choosing arthroscopic Bankart repair; the authors recommend limiting Bankart repair to those with an Instability Severity Index Score of 3 or less, and this paper provides the outcome data justifying that threshold.
Because half of Bankart failures occur after 2 years, short follow-up studies systematically underestimate the true recurrence gap between these two procedures.
Retrospective paired study of 186 shoulders comparing open Latarjet coracoid transfer to arthroscopic Bankart repair for recurrent traumatic anterior shoulder instability, examining recurrence rates, timing of failure, risk factors, and patient-reported outcomes at minimum 4-year follow-up (mean 6 years).
When evaluating a patient for anterior shoulder stabilization, use the three Bankart failure predictors — age under 20, competitive sport participation, and passive external rotation over 85° on the contralateral side — to risk-stratify before choosing arthroscopic Bankart repair; the authors recommend limiting Bankart repair to those with an Instability Severity Index Score of 3 or less, and this paper provides the outcome data justifying that threshold.
Because half of Bankart failures occur after 2 years, short follow-up studies systematically underestimate the true recurrence gap between these two procedures.