Abstract
Purpose
This study aimed to compare the clinical results of revision Bankart repair versus the Latarjet procedure for failed Bankart repair.
Methods
A literature search was performed in databases, such as Pubmed, Embase, and Scopus Library. The studies were appraised using the Methodological Index for Non-randomized Studies tool. Studies for failed Bankart repair with revision Bankart repair or Latarjet procedure were included. The pain VAS, ROWE score, rate of return to sports and preinjury level of sports, recurrent instability, range of motion, and complications were compared. Additionally, the pain VAS, ROWE score, forward flexion, and external rotation at side were subjected to a meta-analysis.
Results
Twenty-four articles were included in the systematic review. The functional outcomes in terms of the ROWE score, recurrent instability, return to sports, and the preinjury level of sports was better in the Latarjet procedure group than those in the revision Bankart repair group (ROWE score, 91 vs. 86.7; recurrent instability rate, 3.5% vs. 14.4%; return to sports rate, 100% vs. 87.9%; return to preinjury level of sports rate, 89.9% vs. 74.9%; all P < 0.001). However, the results of postoperative pain and the postoperative limitation of external rotation at side were worse in the Latarjet procedure group than those in the revision Bankart repair group (pain VAS, 1.4 vs. 0.8; postoperative external rotation at side, 38° vs. 60°; all P < 0.001). In addition, the majority of the complications occurred in the Latarjet procedure group. In the meta-analysis, the postoperative ROWE score was significantly higher in the Latarjet procedure group than that in the revision Bankart group (revision Bankart repair: 95% CI 88.9–80.9, I2 = 65.70; Latarjet procedure: 95% CI 95.8–88.1, I2 = 93.37; P = 0.014). However, the pain VAS, forward flexion, and external rotation at side did not reach the significant level in the meta-analysis.
Conclusion
Compared with revision Bankart repair, the Latarjet procedure for failed Bankart repair showed better ROWE scores, stability, and return to sports or preinjury level of sports; however, the postoperative pain and the limitation of external rotation at side were worse with more complications.
IRB No
KUMC 2022–01-024.
Level of evidence
Level IV.
Similar content being viewed by others
Data availability
Data is available.
References
Ali ZS, Hurley ET, Jamal MS, Horan MP, Montgomery C, Pauzenberger L, Millett PJ, Mullett H (2021) Low rate of recurrent instability following the open Latarjet procedure as a revision procedure for failed prior stabilization surgery. Knee Surg Sports Traumatol Arthrosc 29(7):2110–2117. https://doi.org/10.1007/s00167-020-06155-6
An VV, Sivakumar BS, Phan K, Trantalis J (2016) A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair J Shoulder Elbow Surg 25(5):853–863
Arce G, Arcuri F, Ferro D, Pereira E (2012) Is selective arthroscopic revision beneficial for treating recurrent anterior shoulder instability? Clin Orthop Relat Res 470(4):965–971. https://doi.org/10.1007/s11999-011-2001-0
Buckup J, Welsch F, Gramlich Y, Hoffmann R, Roessler PP, Schuttler KF, Stein T (2018) Back to sports after arthroscopic revision bankart repair. Orthop J Sports Med 6(2):2325967118755452. https://doi.org/10.1177/2325967118755452
Calandra JJ, Baker CL, Uribe J (1989) The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy 5(4):254–257
Calvo E, Luengo G, Morcillo D, Foruria AM, Valencia M (2021) Revision Arthroscopic Bankart Repair versus Arthroscopic Latarjet for failed primary Arthroscopic stabilization with subcritical bone loss. Orthop J Sports Med 9(5):23259671211001810. https://doi.org/10.1177/23259671211001809
Castricini R, Longo UG, Petrillo S, Candela V, De Benedetto M, Maffulli N, Denaro V (2019) Arthroscopic Latarjet for recurrent shoulder instability. Medicina (Kaunas). https://doi.org/10.3390/medicina55090582
Chaudhary D, Goyal A, Joshi D, Jain V, Mohindra M, Mehta N (2016) Clinical and radiological outcome after mini-open Latarjet technique with fixation of coracoid with Arthrex wedge mini-plate. J Clin Orthop Trauma 7(1):23–29. https://doi.org/10.1016/j.jcot.2015.09.002
Cho CH, Na SS, Choi BC, Kim DH (2023) Complications related to Latarjet shoulder stabilization: a systematic review. Am J Sports Med 51(1):263–270. https://doi.org/10.1177/03635465211042314
Cho NS, Yi JW, Lee BG, Rhee YG (2009) Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability. Am J Sports Med 37(11):2158–2164. https://doi.org/10.1177/0363546509339015
Creighton RA, Romeo AA, Brown FM Jr, Hayden JK, Verma NN (2007) Revision arthroscopic shoulder instability repair. Arthroscopy 23(7):703–709
Elamo S, Selanne L, Lehtimaki K, Kukkonen J, Hurme S, Kauko T, Aarimaa V (2020) Bankart versus Latarjet operation as a revision procedure after a failed arthroscopic Bankart repair. JSES Int 4(2):292–296. https://doi.org/10.1016/j.jseint.2020.01.004
Fleisig GS, Andrews JR, Dillman CJ, Escamilla RF (1995) Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med 23(2):233–239. https://doi.org/10.1177/036354659502300218
Flinkkila T, Knape R, Nevalainen M, Sirnio K, Ohtonen P, Leppilahti J (2019) Previous arthroscopic Bankart repair is an independent risk factor for an inferior outcome after Latarjet procedure. Orthop Traumatol Surg Res 105(8):1481–1485
Flinkkila T, Sirnio K (2015) Open Latarjet procedure for failed arthroscopic Bankart repair. Orthop Traumatol Surg Res 101(1):35–38. https://doi.org/10.1016/j.otsr.2014.11.005
Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V (2008) Arthroscopic salvage of failed arthroscopic Bankart repair: a prospective study with a minimum follow-up of 4 years. Am J Sports Med 36(7):1330–1336. https://doi.org/10.1177/0363546508314403
Friedman LG, Griesser MJ, Miniaci AA, Jones MH (2014) Recurrent instability after revision anterior shoulder stabilization surgery. Arthroscopy 30(3):372–381. https://doi.org/10.1016/j.arthro.2013.11.019
Hanson JA, Foster MJ, Pearce SS, Millett PJ (2022) Primary Latarjet for anterior shoulder instability in adolescents: an unstable conclusion: commentary on an article by Manuel Waltenspul, MD, et al.: “Long-term results and failure analysis of the open latarjet procedure and arthroscopic Bankart repair in adolescents.” J Bone Joint Surg Am. https://doi.org/10.2106/JBJS.22.00370
Haskel JD, Wang KH, Hurley ET, Markus DH, Campbell KA, Alaia MJ, Millett PJ, Jazrawi LM (2022) Clinical outcomes of revision arthroscopic Bankart repair for anterior shoulder instability: a systematic review of studies. J Shoulder Elbow Surg 31(1):209–216. https://doi.org/10.1016/j.jse.2021.06.021
Hong IS, Sonnenfeld JJ, Sicat CS, Hong RS, Trofa DP, Schiffern SC, Hamid N, Fleischli JE, Saltzman BM (2023) Outcomes after arthroscopic revision Bankart repair: an updated systematic review of recent literature. Arthroscopy 39(2):438–451. https://doi.org/10.1016/j.arthro.2022.03.030
Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H (2011) Bristow-Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a seventeen-year follow-up. J Shoulder Elbow Surg 20(7):1095–1101. https://doi.org/10.1016/j.jse.2011.02.005
Hozo SP, Djulbegovic B, Hozo I (2005) Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 5:13
Kao JT, Yang CP, Sheu H, Tang HC, Chan YS, Chen AC, Hsu KY, Weng CJ, Cheng YH, Chiu CH (2022) Recurrent shoulder instability after arthroscopic Bankart repair in an elite baseball pitcher-a case report. Medicina (Kaunas). https://doi.org/10.3390/medicina58111635
Kee YM, Kim JY, Kim HJ, Lim CT, Rhee YG (2018) Return to sports after the latarjet procedure: high return level of non-collision athletes. Knee Surg Sports Traumatol Arthrosc 26(3):919–925. https://doi.org/10.1007/s00167-017-4775-4
Kim SH, Ha KI, Kim YM (2002) Arthroscopic revision Bankart repair: a prospective outcome study. Arthroscopy 18(5):469–482. https://doi.org/10.1053/jars.2002.32230
Mahure SA, Mollon B, Capogna BM, Zuckerman JD, Kwon YW, Rokito AS (2018) Risk factors for recurrent instability or revision surgery following arthroscopic Bankart repair. Bone Joint J. https://doi.org/10.1302/0301-620X.100B3.BJJ-2017-0557.R1
Marjanovic B, Poberaj B, Kolar M, Nabergoj M, Kopac C, Gosnik B, Merkac J, Mirnik N (2022) 11% complications rate after Latarjet procedure at up to 14 years follow-up. Musculoskelet Surg 106(3):227–237. https://doi.org/10.1007/s12306-021-00697-9
Matthes G, Horvath V, Seifert J, Ptok H, Stengel D, Schmucker U, Ekkernkamp A, Hinz P (2007) Oldie but goldie: Bristow-Latarjet procedure for anterior shoulder instability. J Orthop Surg (Hong Kong) 15(1):4–8. https://doi.org/10.1177/230949900701500102
Maynou C, Cassagnaud X, Mestdagh H (2005) Function of subscapularis after surgical treatment for recurrent instability of the shoulder using a bone-block procedure. J Bone Joint Surg Br 87(8):1096–1101. https://doi.org/10.1302/0301-620X.87B8.14605
Min KS, Wake J, Cruz C, Miles R, Chan S, Shaha J, Bottoni C (2023) Surgical treatment of shoulder instability in active-duty service members with subcritical glenoid bone loss: Bankart vs. Latarjet J Shoulder Elbow Surg 32(4):771–775. https://doi.org/10.1016/j.jse.2022.10.011
Minkus M, Wolke J, Fischer P, Scheibel M (2019) Analysis of complication after open coracoid transfer as a revision surgery for failed soft tissue stabilization in recurrent anterior shoulder instability. Arch Orthop Trauma Surg 139(10):1435–1444. https://doi.org/10.1007/s00402-019-03220-9
Mizuno N, Denard PJ, Raiss P, Melis B, Walch G (2014) Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg 23(11):1691–1699. https://doi.org/10.1016/j.jse.2014.02.015
Mohsen Mardani-Kivi AA, Asadi K, Izadi A, Leili EK, Arzpeyma SF (2022) Can indirect magnetic resonance arthrography be a good alternative to magnetic resonance imaging in diagnosing glenoid labrum lesions?: a prospective study. Clin Shoulder Elb. 25(3):182–187
Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS (2007) Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 16(4):419–424
Neviaser AS, Benke MT, Neviaser RJ (2015) Open Bankart repair for revision of failed prior stabilization: outcome analysis at a mean of more than 10 years. J Shoulder Elbow Surg 24(6):897–901. https://doi.org/10.1016/j.jse.2014.11.036
O’Neill DC, Christensen G, Kawakami J, Burks RT, Greis PE, Tashjian RZ, Chalmers PN (2020) Revision anterior glenohumeral instability: is arthroscopic treatment an option? JSES Int 4(2):287–291. https://doi.org/10.1016/j.jseint.2020.02.012
Park I, Lee JH, Park JY, Shin SJ (2021) Failure rates after revision arthroscopic stabilization for recurrent anterior shoulder instability based on anterior Capsulolabral complex conditions. Orthop J Sports Med 9(4):2325967121995891. https://doi.org/10.1177/2325967121995891
Park I, Oh MJ, Shin SJ (2020) Effects of glenoid and humeral bone defects on recurrent anterior instability of the shoulder. Clin Orthop Surg 12(2):145–150. https://doi.org/10.4055/cios19060
Patel RV, Apostle K, Leith JM, Regan WD (2008) Revision arthroscopic capsulolabral reconstruction for recurrent instability of the shoulder. J Bone Joint Surg Br 90(11):1462–1467. https://doi.org/10.1302/0301-620X.90B11.21072
Paul RW, Reddy MP, Sonnier JH, Onor G, Spada JM, Clements A, Bishop ME, Erickson BJ (2022) Increased rates of subjective shoulder instability after Bankart repair with remplissage compared to Latarjet surgery. J Shoulder Elbow Surg. https://doi.org/10.1016/j.jse.2022.11.001
Ranalletta M, Rossi LA, Bertona A, Tanoira I, Maignon GD, Bongiovanni SL (2018) Modified Latarjet procedure without Capsulolabral repair for the treatment of failed previous operative stabilizations in athletes. Arthroscopy 34(5):1421–1427
Lander RD, MJOD, (2023) Chronic locked anterior shoulder dislocation with impaction of the humeral head onto the coracoid: a case report. Clin Shoulder Elbow. https://doi.org/10.5397/cise.2022.01074
Rodkey DL, Colantonio DF, LeClere LE, Kilcoyne KG, Dickens JF (2021) Latarjet after failed arthroscopic Bankart Repair results in twice the rate of recurrent instability compared with primary Latarjet. Arthroscopy 37(11):3248–3252. https://doi.org/10.1016/j.arthro.2021.04.059
Rojas-Viada JT, Aguila-Miranda R, Oyarzun-Martinez A, Nieto-Garrido M, Coda-Echenique S, Carreno-Anriquez H, Gana-Hervias G, Cuzmar-Grimald D, Canals-Cifuentes A, Viacava-Sanchez A (2021) Anterior shoulder instability with non critical bone loss: Bankart-Remplissage or Latarjet? Acta Ortop Mex 35(5):417–424
Rossi LA, Bertona A, Tanoira I, Maignon GD, Bongiovanni SL, Ranalletta M (2018) Comparison between modified Latarjet performed as a primary or revision procedure in competitive athletes: a comparative study of 100 patients with a minimum 2-year follow-up. Orthop J Sports Med 6(12):2325967118817233. https://doi.org/10.1177/2325967118817233
Rossi LA, Gorodischer T, Brandariz R, Tanoira I, Pasqualini I, Ranalletta M (2020) High Rate of return to sports and low recurrences with the Latarjet procedure in high-risk competitive athletes with Glenohumeral instability and a glenoid bone loss <20. Arthrosc Sports Med Rehabil 2(6):e735–e742. https://doi.org/10.1016/j.asmr.2020.06.004
Rowe CR, Zarins B (1981) Recurrent transient subluxation of the shoulder. J Bone Joint Surg Am 63(6):863–872
Scheibel M, Kraus N, Gerhardt C, Haas NP (2009) Anterior glenoid rim defects of the shoulder. Orthopade. https://doi.org/10.1007/s00132-008-1354-x
Schmid SL, Farshad M, Catanzaro S, Gerber C (2012) The Latarjet procedure for the treatment of recurrence of anterior instability of the shoulder after operative repair: a retrospective case series of forty-nine consecutive patients. J Bone Joint Surg Am. https://doi.org/10.2106/JBJS.K.00380
Schwihla I, Wieser K, Grubhofer F, Zimmermann SM (2023) Long-term recurrence rate in anterior shoulder instability after Bankart repair based on the on- and off-track concept. J Shoulder Elbow Surg 32(2):269–275. https://doi.org/10.1016/j.jse.2022.07.025
Seungjin Lee DS, Hyun Y (2022) Unrecognized bony Bankart lesion accompanying a dislocated four-part proximal humerus fracture before surgery: a case report. Clin Shoulder Elbow 25(1):68–72
Shanmugaraj A, Sakha S, Tejpal T, Leroux T, Kirsch JM, Khan M (2022) revision arthroscopic Bankart repair for anterior shoulder instability after a failed arthroscopic soft-tissue repair yields comparable failure rates to primary Bankart repair: a systematic review. HSS J 18(1):145–155. https://doi.org/10.1177/15563316211030606
Shin JJ, Mascarenhas R, Patel AV, Yanke AB, Nicholson GP, Cole BJ, Romeo AA, Verma NN (2015) Clinical outcomes following revision anterior shoulder arthroscopic capsulolabral stabilization. Arch Orthop Trauma Surg 135(11):1553–1559. https://doi.org/10.1007/s00402-015-2294-7
Shin SJ, Kim RG, Jeon YS, Kwon TH (2017) Critical value of anterior glenoid bone loss that leads to recurrent Glenohumeral instability after arthroscopic Bankart repair. Am J Sports Med 45(9):1975–1981. https://doi.org/10.1177/0363546517697963
Sinha S, Mehta N, Goyal R, Goyal A, Joshi D, Arya RK (2021) Is Revision Bankart repair with Remplissage a viable option for failed Bankart Repair in Non-contact sports person aiming to return to sports? Indian J Orthop 55(Suppl 2):359–365. https://doi.org/10.1007/s43465-021-00415-4
Sisto DJ (2007) Revision of failed arthroscopic bankart repairs. Am J Sports Med 35(4):537–541. https://doi.org/10.1177/0363546506296520
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73(9):712–716
Tanoira I, Rossi L, Franco JVA, Liquitary CME, Pasqualini I, Ranalletta M (2021) Return to sports after Latarjet surgery: systemaric literature review. Argent Ortop Traumatol 86(2):263–280
Updegrove GF, Buckley PS, Cox RM, Selverian S, Patel MS, Abboud JA (2020) Latarjet procedure for anterior Glenohumeral instability: early postsurgical complications for primary coracoid transfer versus revision coracoid transfer after failed prior stabilization. Orthop J Sports Med 8(6):2325967120924628. https://doi.org/10.1177/2325967120924628
Werthel JD, Sabatier V, Schoch B, Amsallem L, Nourissat G, Valenti P, Kany J, Deranlot J, Solignac N, Hardy P, Vigan M, Hardy A (2020) Outcomes of the Latarjet procedure for the treatment of chronic anterior shoulder instability: patients with prior arthroscopic Bankart repair versus primary cases. Am J Sports Med 48(1):27–32. https://doi.org/10.1177/0363546519888909
Wilson, (1927) Probable inference, the law of succession, and statistical inference. J Am Stat assoc 22(158):209–212
Yapp LZ, Nicholson JA, McCallum C, Macdonald DJ, Robinson CM (2020) Latarjet as a primary and revision procedure for anterior shoulder instability - a comparative study of survivorship, complications and functional outcomes in the medium to long-term. Shoulder Elbow 12(5):338–348. https://doi.org/10.1177/1758573219864926
Zhang M, Liu J, Jia Y, Zhang G, Zhou J, Wu D, Jiang J, Yun X (2022) Risk factors for recurrence after Bankart repair: a systematic review and meta-analysis. J Orthop Surg Res 17(1):113. https://doi.org/10.1186/s13018-022-03011-w
Acknowledgements
This work was supported by the Konkuk University Medical Center Research Grant 2022. The authors, their immediate families, and any research foundation with which they are affiliated did not receive any financial patments or other benefits from any commercial entitiy related to the subject of this article.
Funding
Konkuk University Medical Center, Konkuk University Medical Center Research Grant 2022, Seok Won Chung.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Lho, T., Lee, J., Oh, KS. et al. Latarjet procedure for failed Bankart repair provides better stability and return to sports, but worse postoperative pain and external rotation limitations with more complications, compared to revision Bankart repair: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 31, 3541–3558 (2023). https://doi.org/10.1007/s00167-023-07410-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-023-07410-2