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Ten percent re-dislocation rate 13 years after the arthroscopic Bankart procedure

  • Shoulder
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The aim of the present study was to determine the long-term outcome after the arthroscopic Bankart procedure, in terms of recurrent instability, shoulder function, glenohumeral arthropathy and patient satisfaction.

Methods

Patients who underwent the arthroscopic Bankart procedure between January 1999 and the end of December 2005 were invited to complete a set of Patient Reported Outcome Measures (PROMs) and visit the hospital for clinical and radiological assessment. PROMs included the Western Ontario Shoulder Instability Index (WOSI), the Oxford Shoulder Instability Score (OSIS) and additional questions on shoulder instability and patient satisfaction. Clinical assessment included the apprehension test and the Constant–Murley score. The Samilson–Prieto classification was used to assess arthropathy on standard radiographs. The primary outcome was a re-dislocation that needed reduction. Secondary outcomes in terms of recurrent instability included patient-reported subluxation and a positive apprehension test.

Results

Of 104 consecutive patients, 71 patients with a mean follow-up of 13.1 years completed the PROMs, of which 53 patients (55 shoulders) were also available for clinical and radiological assessment. Re-dislocations had occurred in 7 shoulders (9.6%). Subluxations occurred in 23 patients (31.5%) and the apprehension test was positive in 30 (54.5%) of the 55 shoulders examined. Median functional outcomes were 236 for WOSI, 45 for OSIS, and 103 for the normalized Constant–Murley score. Of all 71 patients (73 shoulders), 29 (39.7%) reported being completely satisfied, 33 (45.2%) reported being mostly satisfied and 8 (11%) reported being somewhat satisfied. Glenohumeral arthropathy was observed in 33 (60%) of the shoulders.

Conclusion

Despite 10% re-dislocations and frequent other signs of recurrent instability, shoulder function and patient satisfaction at 13 years after arthroscopic Bankart repair were good.

Level of evidence

Level IV.

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Notes

  1. Thirty-six patients of this cohort also participated in a shorter follow-up study by van der Linde et al. [13].

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Funding

The radiologic examination of our patients was funded by Teaching Hospital at OLVG, Amsterdam, the Netherlands.

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Authors and Affiliations

  1. Department of Orthopedics, OLVG, Amsterdam, The Netherlands

    Marianne Larsen van Gastel, Nienke W. Willigenburg, Michel P. J. van den Bekerom, W. Jaap Willems & Derek F. P. van Deurzen

  2. Quality and Safety Department, Unit Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands

    Lea M. Dijksman

  3. Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

    Robert Lindeboom

  4. Department of Radiology, OLVG, Amsterdam, The Netherlands

    Victor P. M. van der Hulst

  5. Lairesse Kliniek, Amsterdam, The Netherlands

    W. Jaap Willems

Authors
  1. Marianne Larsen van Gastel
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  2. Nienke W. Willigenburg
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  3. Lea M. Dijksman
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  7. W. Jaap Willems
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  8. Derek F. P. van Deurzen
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Corresponding author

Correspondence to Derek F. P. van Deurzen.

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The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the MEC-U (Medical Research Ethics Committees United).

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van Gastel, M.L., Willigenburg, N.W., Dijksman, L.M. et al. Ten percent re-dislocation rate 13 years after the arthroscopic Bankart procedure. Knee Surg Sports Traumatol Arthrosc 27, 3929–3936 (2019). https://doi.org/10.1007/s00167-019-05534-y

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