High rates of return to sport seen after arthroscopic Bankart repair
Although a survey of patients who underwent arthroscopic Bankart repair for the treatment of chronic shoulder instability showed all patients who were active in sports preoperatively returned to sport postoperatively, 26% of patients reported no benefits in sporting activity after the surgery.
Researchers asked 81 patients who underwent arthroscopic Bankart repair for traumatic anteroinferior shoulder instability to complete a mailed, sport-specific questionnaire. Sports frequency, sports duration, number of sports disciplines and performance levels were assessed with the questionnaire. In addition, researchers obtained patient outcomes using the QuickDASH and Tegner activity scale. Patients had a minimum follow-up of 24 months and a mean follow-up of 43 months. Overall, information for 66 patients was available for study.
Of the 57 patients who were active prior to the surgery, all had returned to activity. Investigators noted nine patients were inactive prior to surgery and of these, five performed new activities after the surgery. Arthroscopic repair strongly or somewhat improved sport and recreational proficiency in 44 patients. No impact from surgery was noted for 17 patients, and five patients reported their ability in sports performance decreased postoperatively.
Positive correlations were seen between age at time of surgery and improvements in sporting proficiency; however, investigators found a negative correlation with number of sports disciplines, risk level, Tegner activity levels preoperatively and at follow-up. Differences were not significant between groups with regard to number of disciplines, Tegner scale, risk level, frequency of sports, sports durations, the number of anchors used in surgery and chronic shoulder instability duration, according to researchers.‒ by Monica Jaramillo
Disclosures: Plath reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.