Open Latarjet Results in Lower Recurrent Instability and Revision Rates Than Arthroscopic Bankart Repair at 10-Year Follow-up: A Systematic Review.

Abstract

Purpose: To compare arthroscopic Bankart repair versus the open Latarjet procedure at a minimum of 10-year follow-up evaluating recurrence and arthropathy development rates.

Methods: A systematic review was performed in concordance with PRISMA guidelines. Studies were included if they reported on the arthroscopic Bankart repair or open Latarjet procedure with a minimum of 10-year follow-up. Recurrent instability, revisions, and instability arthropathy were evaluated.

Results: Overall, 40 studies met our criteria and were included with 2019 shoulders undergoing ABR, and 1069 undergoing the open Latarjet procedure. The rate of recurrent instability was 0.0%-22.6% (redislocations: 0.0%-9.6%) in those undergoing an open Latarjet procedure and 13.3%-82.2% (redislocations: 9.6%-25.7%) among those undergoing arthroscopic Bankart repair. The rate of total revisions was 0.0%-17.9% in those undergoing an open Latarjet procedure and 4.8%-42.9% among those undergoing arthroscopic Bankart repair. The rate of overall arthritis was 10.3%-71.4% in those undergoing an open Latarjet procedure and 16.7%-89.3% among those undergoing arthroscopic Bankart repair.

Conclusion: There was a lower recurrent instability rate and revision rate in the open Latarjet group compared to the arthroscopic Bankart group at long-term follow-up. The rates of moderate-severe arthritis were comparable between the two procedures.

Level of evidence: Level IV: Systematic review of Level I-IV studies.