Clinical outcomes of arthroscopic Bankart repair versus Latarjet repair for shoulder instability: A systematic review and meta-analysis

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-07-31 DOI:10.1016/j.jor.2025.07.023

Wei Lun Lui , Hemant Sharma

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引用次数: 0

Abstract

Determining the optimal surgical approach for recurrent anterior shoulder instability remains contentious, often guided more by clinician familiarity than comparative data. This meta-analysis assessed outcomes of arthroscopic Bankart repair versus the Latarjet procedure. A thorough search of CINAHL, MEDLINE, and Scopus (up to June 2022) was performed. For continuous outcomes such as operative time and Rowe scores, mean differences (MDs) were calculated, while categorical variables like recurrence and complications were summarized as risk ratios (RRs) with 95 % confidence intervals (CIs). From five eligible cohort studies involving 3145 patients, Bankart repair was associated with elevated redislocation (RR = 3.74, CI: 1.94–7.22) and recurrence risks (RR = 3.09, CI: 1.96–4.87). Conversely, it had a lower infection rate (RR = 0.14, CI: 0.05–0.42) and yielded reduced Rowe scores (MD = −7.94, CI: −13.00 to −2.87). Revision and hematoma incidence showed no meaningful differences. These findings suggest that while Latarjet offers improved stability and function, Bankart repair is linked to fewer infections. Both methods were similar in terms of revision and hematoma outcomes.

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关节镜下Bankart修复与Latarjet修复治疗肩部不稳定的临床结果：一项系统回顾和荟萃分析

确定复发性肩前路不稳的最佳手术入路仍然存在争议，通常更多的是由临床医生的熟悉程度而不是比较数据来指导。本荟萃分析评估了关节镜下Bankart修复与Latarjet手术的结果。对CINAHL、MEDLINE和Scopus进行全面检索（截至2022年6月）。对于连续结局，如手术时间和Rowe评分，计算平均差异（md），而复发和并发症等分类变量总结为95%置信区间（ci）的风险比（rr）。从涉及3145例患者的5项符合条件的队列研究中，Bankart修复与再脱位升高（RR = 3.74, CI: 1.94-7.22）和复发风险（RR = 3.09, CI: 1.96-4.87）相关。相反，它具有较低的感染率（RR = 0.14, CI: 0.05 ~ 0.42）和较低的Rowe评分（MD = - 7.94, CI: - 13.00 ~ - 2.87）。翻修和血肿发生率无显著差异。这些发现表明，虽然Latarjet提供了更好的稳定性和功能，但Bankart修复与更少的感染有关。两种方法在修正和血肿结果方面相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.