TY - JOUR
T1 - Revision Arthroscopic Bankart Repair Results in High Failure Rates and a Low Return to Duty Rate Without Recurrent Instability
AU - Slaven, Sean E.
AU - Donohue, Michael A.
AU - Tardif, Robert A.
AU - Foley, Kevin A.
AU - LeClere, Lance E.
AU - Cameron, Kenneth L.
AU - Giuliani, Jeffrey R.
AU - Posner, Matthew A.
AU - Dickens, Jonathan F.
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: M.A.D. reports editorial board membership for Arthroscopy Journal. J.F.D. reports board membership for Society of Military Orthopaedic Surgeons, American Orthopaedic Society of Sports Medicine, American Academy of Orthopaedic Surgery, and Arthroscopy Association of North America. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Publisher Copyright:
© 2022
PY - 2023/4
Y1 - 2023/4
N2 - Purpose: The purpose of this study was to determine, in a military population without critical bone loss, the rate of recurrent instability after revision arthroscopic stabilization for failed primary arthroscopic Bankart repair. Methods: Forty-one revision arthroscopic stabilizations were performed at a single military institution between 2005 to 2016 for recurrent anterior shoulder instability after primary arthroscopic Bankart repair. Minimum follow-up was 2 years, and shoulders with glenoid bone loss >20% were excluded. The primary outcome of interest was the incidence of failure, defined by recurrent instability. Results: Age at revision surgery averaged 22.9 ± 4.3 years, and 88% were either service academy cadets or active duty combat arms soldiers. Mean follow-up was 7.8 years. Twenty-three patients (56%) returned to duty without recurrent instability after revision arthroscopic stabilization. Eighteen patients (44%) experienced recurrent instability after return to duty. Glenoid bone loss averaged 6.2% (95% confidence interval [CI], 3.2%-9.2%) in the successful group and 5.7% (95% CI, 3.1%-8.3%) in the failure group (P = .808). Conclusions: Revision arthroscopic stabilization of failed primary arthroscopic Bankart repair has a failure rate of 44% in a young military population. The similar amounts of bone loss between groups indicates that bone loss is not the primary determinant of failure in revision arthroscopic stabilization.
AB - Purpose: The purpose of this study was to determine, in a military population without critical bone loss, the rate of recurrent instability after revision arthroscopic stabilization for failed primary arthroscopic Bankart repair. Methods: Forty-one revision arthroscopic stabilizations were performed at a single military institution between 2005 to 2016 for recurrent anterior shoulder instability after primary arthroscopic Bankart repair. Minimum follow-up was 2 years, and shoulders with glenoid bone loss >20% were excluded. The primary outcome of interest was the incidence of failure, defined by recurrent instability. Results: Age at revision surgery averaged 22.9 ± 4.3 years, and 88% were either service academy cadets or active duty combat arms soldiers. Mean follow-up was 7.8 years. Twenty-three patients (56%) returned to duty without recurrent instability after revision arthroscopic stabilization. Eighteen patients (44%) experienced recurrent instability after return to duty. Glenoid bone loss averaged 6.2% (95% confidence interval [CI], 3.2%-9.2%) in the successful group and 5.7% (95% CI, 3.1%-8.3%) in the failure group (P = .808). Conclusions: Revision arthroscopic stabilization of failed primary arthroscopic Bankart repair has a failure rate of 44% in a young military population. The similar amounts of bone loss between groups indicates that bone loss is not the primary determinant of failure in revision arthroscopic stabilization.
UR - http://www.scopus.com/inward/record.url?scp=85141945368&partnerID=8YFLogxK
U2 - 10.1016/j.arthro.2022.08.044
DO - 10.1016/j.arthro.2022.08.044
M3 - Article
C2 - 36210031
AN - SCOPUS:85141945368
SN - 0749-8063
VL - 39
SP - 913
EP - 918
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
IS - 4
ER -