Outcomes of Open Bankart Repair Plus Inferior Capsular Shift Compared with Latarjet Procedure in Contact Athletes with Recurrent Anterior Shoulder Instability

Document Type : RESEARCH PAPER

Authors

Sanatorio Allende, Cordoba, Argentina

Abstract

Background: Open Bankart repair plus inferior capsular shift (OBICS) and Latarjet procedure (LA) are considered 
appropriate treatment alternatives for high-performance athletes. The purpose of this study was to evaluate the 
functional outcomes and recurrence rate of each surgery. Our hypothesis: there were no differences between the two 
treatments. 
Methods: A prospective cohort study was conducted with n=90 contact athletes divided into two groups of 45 patients. 
One group was treated with OBICS, and the other one with LA. The mean follow-up period was 25 (24-32) months for 
the OBICS group and 26 (24-31) months for the LA group. Primary functional outcomes of each group were assessed 
at baseline, six months, one year, and two years after surgery. The functional outcomes were also compared between 
the groups. The evaluation tools used were the Western Ontario Shoulder Instability score (WOSI) and the American 
Shoulder and Elbow Surgeons scale (ASES). In addition, recurrent instability and range of motion (ROM) were also 
evaluated.
Results: In each group, significant changes were found in the WOSI score and ASES scale from pre-op to postop. 
However, there were no significant differences between the functional outcomes of the groups at the final follow-up 
(P-values 0.73 and 0.19). Three dislocations and one subluxation (8.8%) were reported in the OBICS group, and three 
subluxations were reported in the LA group (6.6%), revealing no significant differences between the groups (P=0.37). 
Moreover, there were no significant differences between preoperative and postoperative ROM in each group or in terms 
of external rotation (ER) and ER in 90º abduction between the groups. 
 
Conclusion: No differences were found between OBICS and LA surgery. Both procedures can be indicated according 
to the surgeon’s preference to reduce recurrence rates in contact athletes with recurrent anterior shoulder instability.
Level of evidence: II

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The Archives of Bone and Joint Surgery
Volume 11, Issue 1
January 2023
Pages 39-46

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History

  • Receive Date: 16 September 2021
  • Revise Date: 20 September 2022
  • Accept Date: 21 September 2022
  • First Publish Date: 28 December 2022

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