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Arthroscopic Latarjet yields better union and prevention of instability compared to arthroscopic bony Bankart repair in shoulders with recurrent anterior instability: a systematic review

  • SHOULDER
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To determine whether arthroscopic Latarjet procedure or arthroscopic bony Bankart repair provide better outcomes in terms of rates of recurrent instability, non-union and complications, as well as clinical scores and range of motion.

Methods

An electronic literature search was performed using PubMed, Embase®, and Cochrane databases, applying the following keywords: “Arthroscopic bony Bankart” OR “Arthroscopic osseous Bankart” AND “Arthroscopic Latarjet” OR “Arthroscopic coracoid bone block”.

Results

The systematic search returned 1465 records, of which 29 were included (arthroscopic bony Bankart repair, n = 16; arthroscopic Latarjet, n = 13). 37 datasets were included for data extraction, on 1483 shoulders. Compared to arthroscopic Latarjet, arthroscopic bony Bankart repair had significantly higher instability rates (0.14; CI 0.10–0.18; vs 0.04; CI 0.02–0.06), significantly lower union rates (0.63; CI 0.28–0.91 vs 0.98; CI 0.93–1.00), and significantly lower pain on VAS (0.42; CI 0.17–0.67 vs 1.17; CI 0.96–1.38). There were no significant differences in preoperative glenoid bone loss, follow-up, complication rate, ROWE score, ASES score, external rotation, and anterior forward elevation between arthroscopic Latarjet and arthroscopic bony Bankart repair.

Conclusion

Compared to arthroscopic Latarjet, arthroscopic bony Bankart repair results in significantly (i) higher rates of recurrent instability (14% vs 4%), (ii) lower union rates (63% vs 98%), but (iii) slightly lower pain on VAS (0.45 vs 1.17). There were no differences in complication rates, clinical scores, or postoperative ranges of motion.

Level of evidence

IV.

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Acknowledgements

ReSurg collaborators: Floris van Rooij (http://orcid.org/0000-0002-3513-0599), MSc, journals@resurg.com; Ankitha Kumble, BSc, ankitha@resurg.com; Edouard Dejour, MSc, edouard@resurg.com (ReSurg SA, Nyon, Switzerland).

SoFEC collaborators: Guillaume Villatte, MD, guivillatte@gmail.com; Geoffroy Nourissat, MD, gnourissat@wanadoo.fr (SoFEC - French Shoulder and Elbow Society, 75014 Paris, France; Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, ICCF, F-63000 Clermont-Ferrand, France; Clinique des Maussins, 67, rue de Romainville, 75019 Paris, France).

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  1. Clinique du Sport, 2 rue Georges Negrevergne, 33700, Mérignac, France

    Anselme Billaud

  2. ELSAN, Clinique Breteche, Nantes, France

    Laurent Baverel

  3. Hopital Prive de la Châtaigneraie, ELSAN, Clermont-Ferrand, France

    Pierre Metais

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  1. Anselme Billaud
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ReSurg

  • Floris van Rooij
  • , Ankitha Kumble
  •  & Edouard Dejour

SoFEC

  • Guillaume Villatte
  •  & Geoffroy Nourissat

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Billaud, A., Baverel, L., ReSurg. et al. Arthroscopic Latarjet yields better union and prevention of instability compared to arthroscopic bony Bankart repair in shoulders with recurrent anterior instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 31, 5994–6005 (2023). https://doi.org/10.1007/s00167-023-07655-x

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