Paper #36 Revisiting the open Bankart experience in a longterm follow‐up

Purpose of the studyTo make an unbiased long-term evaluation after open Bankart reconstruction.Materials and methodsFifty-four patients (54 shoulders) with symptomatic, recurrent, anterior post-traumatic shoulder instability were operated on using an open Bankart reconstruction procedure involving suture anchors. All the patients had a Bankart lesion. Forty seven/54 (87%) of the shoulders were re-examined by independent observers, after a mean follow-up period of 69 (48–114) months.ResultsThe recurrence rate, including both dislocations and subluxations, was 8/47 (17%). The Rowe score was 90 (24–100) points at the follow-up and the Constant score was 88.5 (41–100) points. The external rotation in abduction was 90 (25–125) degrees, as compared with 97.5 (60–125) degrees for the non-injured shoulders (p < 0.0001).ConclusionsIn the long-term, the open Bankart procedure revealed an unexpectedly high number of patients with failure in terms of stability. The results of the present study emphasise the importance of performing unbiased long-term follow-up studies after the surgical reconstruction of anterior, post-traumatic shoulder instability using any type of technique. Purpose of the studyTo make an unbiased long-term evaluation after open Bankart reconstruction. To make an unbiased long-term evaluation after open Bankart reconstruction. Materials and methodsFifty-four patients (54 shoulders) with symptomatic, recurrent, anterior post-traumatic shoulder instability were operated on using an open Bankart reconstruction procedure involving suture anchors. All the patients had a Bankart lesion. Forty seven/54 (87%) of the shoulders were re-examined by independent observers, after a mean follow-up period of 69 (48–114) months. Fifty-four patients (54 shoulders) with symptomatic, recurrent, anterior post-traumatic shoulder instability were operated on using an open Bankart reconstruction procedure involving suture anchors. All the patients had a Bankart lesion. Forty seven/54 (87%) of the shoulders were re-examined by independent observers, after a mean follow-up period of 69 (48–114) months. ResultsThe recurrence rate, including both dislocations and subluxations, was 8/47 (17%). The Rowe score was 90 (24–100) points at the follow-up and the Constant score was 88.5 (41–100) points. The external rotation in abduction was 90 (25–125) degrees, as compared with 97.5 (60–125) degrees for the non-injured shoulders (p < 0.0001). The recurrence rate, including both dislocations and subluxations, was 8/47 (17%). The Rowe score was 90 (24–100) points at the follow-up and the Constant score was 88.5 (41–100) points. The external rotation in abduction was 90 (25–125) degrees, as compared with 97.5 (60–125) degrees for the non-injured shoulders (p < 0.0001). ConclusionsIn the long-term, the open Bankart procedure revealed an unexpectedly high number of patients with failure in terms of stability. The results of the present study emphasise the importance of performing unbiased long-term follow-up studies after the surgical reconstruction of anterior, post-traumatic shoulder instability using any type of technique. In the long-term, the open Bankart procedure revealed an unexpectedly high number of patients with failure in terms of stability. The results of the present study emphasise the importance of performing unbiased long-term follow-up studies after the surgical reconstruction of anterior, post-traumatic shoulder instability using any type of technique.