Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes.
BACKGROUND
Little is known of the long-term results of acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations.


OBJECTIVE
Acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations will provide good results at long-term follow-up.


METHODS
Case series; Level of evidence, 4.


METHODS
The authors evaluated a cohort of young patients who sustained first-time anterior glenohumeral dislocations and were acutely treated with arthroscopic Bankart repair using bioabsorbable tacks. Subjective outcome measures were obtained at a mean follow-up of 11.7 years (range, 9.1-13.9 years).


RESULTS
Thirty-nine patients (40 shoulders) were available of the original cohort of 49 shoulders (82%). Two of the 9 who were lost to follow-up had revision surgery before being lost and are carried forward in the calculations of recurrent instability and revision surgery but are not included in the calculation of the functional scores. The mean Single Assessment Numeric Evaluation was 91.7, the mean Western Ontario Shoulder Instability score was 371.7, the mean subjective Rowe score was 25.3, the mean Simple Shoulder Test was 11.1, the mean American Shoulder and Elbow Society score was 90.9, the mean Short Form-36 Physical Component score was 94.4, and the mean Tegner score was 6.5. Six patients sustained recurrent dislocations for a redislocation rate of 14.3%. Nine patients (21.4%) reported experiencing subluxation events. Six patients (14.3%) underwent revision stabilization surgery.


CONCLUSIONS
At long-term follow-up, acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations resulted in excellent subjective function and return to athletics in young, active patients with an acceptable rate of recurrence and reoperation.
Owens
Brett D
BD
William Beaumont Army Medical Center, El Paso, TX 79920-5001, USA. b.owens@us.army.mil
DeBerardino
Thomas M
TM
Nelson
Bradley J
BJ
Thurman
John
J
Cameron
Kenneth L
KL
Taylor
Dean C
DC
Uhorchak
John M
JM
Arciero
Robert A
RA
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D001265:Athletic Injuries / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008889:Military Personnel; D011446:Prospective Studies; D012008:Recurrence; D012086:Reoperation; D012783:Shoulder Dislocation / Q000601:surgery*; D055815:Young Adult