Arthroscopic salvage of failed arthroscopic Bankart repair: a prospective study with a minimum follow-up of 4 years.
BACKGROUND
Data on arthroscopic salvage of failed arthroscopic Bankart repair are lacking.


OBJECTIVE
To prospectively evaluate the surgical outcome of arthroscopic salvage of failed arthroscopic Bankart repair.


METHODS
Case series; Level of evidence, 4.


METHODS
Operations were performed on 10 patients (8 male and 2 female; mean age at revision, 25.6 years; range, 18-41 years). The mean interval from the time of the revision surgery to the final follow-up was 68 months (range, 46-83 months). Objective testing included preoperative and postoperative range of motion. Outcome measures included the rating system of the University of California at Los Angeles. The surgical procedure was performed in a consistent manner: capsular plications, suture anchor repair of the displaced labrum, and, when indicated, rotator interval closure.


RESULTS
The University of California at Los Angeles rating system showed a statistically significant improvement from a preoperative mean rating of 11.7 (range, 6-14) to a mean of 31.7 (range, 29-35) postoperatively (P < .05). All patients had a full and equal postoperative range of motion compared with the preoperative range of motion. One patient experienced recurrent dislocations after the salvage procedure. None of the other 9 patients experienced a recurrent dislocation, with all returning to their previous sports levels.


CONCLUSIONS
Arthroscopic Bankart revision surgery is a reliable procedure with respect to recurrence rate, range of motion, and shoulder function in carefully selected patients.
Franceschi
Francesco
F
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy.
Longo
Umile Giuseppe
UG
Ruzzini
Laura
L
Rizzello
Giacomo
G
Maffulli
Nicola
N
Denaro
Vincenzo
V
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011446:Prospective Studies; D016059:Range of Motion, Articular; D012008:Recurrence; D012086:Reoperation; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*