Retrospective case-cohort study of 364 shoulders comparing arthroscopic Bankart repair vs. open Latarjet procedure for recurrent anterior shoulder instability, with minimum 6-year and mean ~10-year follow-up. Asks whether the two procedures differ in long-term stability, patient satisfaction, and failure timing.
When evaluating a patient with recurrent anterior shoulder instability, recognize that arthroscopic Bankart repair carries a 41.7% long-term rate of any instability and a 21% revision rate — failures that accumulate progressively over more than a decade — while open Latarjet provides substantially more durable stability.
Counsel patients that a "successful" Bankart repair at 2 years does not preclude late failure, and in higher-risk patients (contact athletes, any glenoid bone loss, multiple prior dislocations) osseous reconstruction should be the primary consideration.
Retrospective case-cohort study of 364 shoulders comparing arthroscopic Bankart repair vs. open Latarjet procedure for recurrent anterior shoulder instability, with minimum 6-year and mean ~10-year follow-up. Asks whether the two procedures differ in long-term stability, patient satisfaction, and failure timing.
When evaluating a patient with recurrent anterior shoulder instability, recognize that arthroscopic Bankart repair carries a 41.7% long-term rate of any instability and a 21% revision rate — failures that accumulate progressively over more than a decade — while open Latarjet provides substantially more durable stability.
Counsel patients that a "successful" Bankart repair at 2 years does not preclude late failure, and in higher-risk patients (contact athletes, any glenoid bone loss, multiple prior dislocations) osseous reconstruction should be the primary consideration.