Archives of Orthopaedic and Trauma Surgery

, Volume 135, Issue 4, pp 529–538 | Cite as

Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data

  • Long Chen
  • Zhao Xu
  • Jing Peng
  • Fei Xing
  • Hong Wang
  • Zhou Xiang
Arthroscopy and Sports Medicine



To evaluate the effectiveness and safety of arthroscopic and open Bankart repair for recurrent anterior shoulder dislocation using meta-analysis of data from clinical trials.

Materials and methods

Cochrane Register of Controlled Trials, PUBMED and EMBASE were used to search and identify clinical trials that evaluated arthroscopic and open Bankart repair for recurrent anterior shoulder dislocation. Methodological qualities of studies were assessed by Cochrane Collaboration tool for assessing risk of bias and Newcastle–Ottawa Scale. Publication bias was detected using Begg’s test and Egger’s test.


Sixteen trials involving 827 shoulders were included in the study. Based on Cochrane Collaboration tool for assessing risk of bias, three studies were rated as high quality and one study was rated as moderate quality among the randomized controlled trials. Another twelve case–control studies were rated as high quality based on Newcastle–Ottawa Scale. No significant publication bias was detected by Begg’s test or Egger’s test. Meta-analysis results indicated that arthroscopic repair has a significantly better recovery rate for external rotation at 90° of abduction, external rotation at side (P > 0.05) and forward flexion. However, arthroscopic repair had higher rates of recurrence and reoperation than open Bankart repair.


Meta-analysis of available randomized controlled trials and case–control studies demonstrated that arthroscopic repair and open Bankart repair were similar in safety. Arthroscopic repair resulted in better recovery of range of motion, but recurrence and reoperation rates were higher than open Bankart repair.


Recurrent anterior shoulder dislocation Effectiveness Safety Arthroscopic Bankart repair Open Bankart repair Meta-analysis 


Conflict of interest

We have no conflicts of interest concerning this article and we did not receive any funding during this research.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Long Chen
    • 1
  • Zhao Xu
    • 1
  • Jing Peng
    • 1
  • Fei Xing
    • 1
  • Hong Wang
    • 1
  • Zhou Xiang
    • 1
  1. 1.Department of Orthopaedics, West China HospitalSichuan UniversityChengduChina

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