title: A Meta-Analysis of Arthroscopic versus Open Repair for Treatment of Bankart Lesions in the Shoulder.
abstract: BACKGROUND
  The optimal treatment for Bankart lesion remains controversial. Therefore, we performed this meta-analysis to compare the clinical outcomes of patients managed with open Bankart repair versus arthroscopic Bankart repair.
  
  
  METHODS
  After systematic review of online databases, a total of 11 trials with 1022 subjects were included. The methodological quality of randomized controlled trials (RCTs) was assessed using the PEDro critical appraisal tool, and non-RCTs were evaluated by Newcastle-Ottawa (NO) quality assessment tool. Outcomes of shoulder stability, range of motion (ROM), functional scales, and surgical times were analyzed.
  
  
  RESULTS
  Data synthesis showed significant differences between the two strategies, with regards to stability of the shoulder (P=0.008, RR=0.94, 95% CI: 0.89 to 0.98), and ROM (P<0.001, SMD=-0.47, 95% CI: -0.72 to -0.22).
  
  
  CONCLUSIONS
  Open Bankart repair produced a more stable shoulder but had a relatively poor shoulder motion, compared with arthroscopic Bankart repair, for the treatment of Bankart lesion.
authors.affiliation: Department of Orthopeadics, Hospital Affiliated to Academy of Military Medical Sciences, Beijing, China (mainland).
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Orthopeadics, Hospital Affiliated to Academy of Military Medical Sciences, Beijing, China (mainland).
authors.forename: Yaosheng
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Orthopeadics, Hospital Affiliated to Academy of Military Medical Sciences, Beijing, China (mainland).
authors.forename: Xiuyun
authors.initials: X
authors.lastname: Su
authors.affiliation: Department of Orthopeadics, Hospital Affiliated to Academy of Military Medical Sciences, Beijing, China (mainland).
authors.forename: Shubin
authors.initials: S
authors.lastname: Liu
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000379:methods; D011785:Quality Assurance, Health Care; D016032:Randomized Controlled Trials as Topic; D016059:Range of Motion, Articular; D012008:Recurrence; D015203:Reproducibility of Results; D012782:Shoulder / Q000601:surgery; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome