Clinical Outcome of Arthroscopic Bankart Repair and Remplissage in Recurrent Anterior Shoulder Dislocation in Manual Workers.

Abstract

Introduction: Recurrent anterior shoulder dislocation is particularly more common among occupations involving the frequent use of the upper limb above shoulder height such as manual labour. The present study aims to investigate outcomes of arthroscopic Bankart repair and Remplissage in manual workers as few studies have been undertaken in this specific subgroup. The arthroscopic Bankart repair and Remplissage in treatment of recurrent anterior shoulder dislocation in manual workers has reduced recurrence rates and improved patient satisfaction.

Materials and methods: A total of 36 patients underwent arthroscopic Bankart with Remplissage for recurrent anterior shoulder dislocation, enrolled between February 2022 to December 2023 considering various inclusion and exclusion criteria. Patients were evaluated in post op period for range of motion, oxford shoulder instability score and visual analogue score for pain at intervals of 6 and 12 months.

Results: All patients enrolled had soft tissue with bony Bankart lesion with mean of glenoid bone loss (%) was 11.75% (±3.15%) and all participants had engaging Hill-Sachs lesion. The mean pre-operative OSIS was 19.56 (±2.17) and mean VAS was 5.53 (±0.56). In the post op evaluation, there was no clinically significant decrease in range of motion with mean loss of external rotation of 3.86 (±1.44) at 12 months. The mean OSIS increased to 41.0 and mean VAS decreased to 2.36 at 12 months follow-up which was statistically significant. There was no incidence of dislocation in post op period of 12 months.

Conclusion: Arthroscopic Bankart repair and Remplissage in recurrent anterior shoulder dislocation in manual workers demonstrates significant improvements in functional outcomes, minimal post-operative range of motion restrictions, and stable shoulders at the 12-month follow-up, highlighting the efficacy and safety of the procedure.