How to Manage Failed Anterior Arthroscopic Repair
Anterior arthroscopic repair failure is a challenge for every shoulder surgeon. Whether it occurs after a new high-energy trauma in a fully healed patient or after a mild uncontrolled movement, management of failure needs very deep analysis of its cause, the clinical history of the patient, and the preoperative and post-failure imaging. Wrong technique or wrong indication very likely leads to failure. In the treatment algorithm, one must take into account mid- and long-term career and socioeconomic consequences for a given patient.
Non-anatomical procedures like Bristow-Latarjet, in open or arthroscopic manner, have to be taken into account even for younger patients, as other solutions appear most probable to fail.
KeywordsArthroscopy Bankart repair Failure Management Treatment algorithm