Midterm clinical results of bankart repair, bankart remplissage, and latarjet procedures for treating recurrent anterior shoulder dislocation

Introduction: This study compared the midterm outcomes of pain, apprehension and range of motion in the shoulder after three arthroscopic procedures including Bankart repair, Bankart repair plus remplissage, and Latarjet surgeries, in patients with recurrent anterior shoulder dislocation. Materials and Methods: We evaluated 128 patients who had undergone anterior shoulder instability surgery at least 4 years ago in our centre based on pain, apprehension and range of motion of both shoulders. Pain was assessed with visual analogue scale, apprehension by physical examination and range of motion with goniometer. We divided them into three groups based on their treatment: (1) Bankart repair, (2) Bankart remplissage and (3) Laterjet procedure. Results: There were 34 patients with Bankart repair, 68 with Bankart remplissage and 26 with Latarjet procedure. The mean of follow-up time was 6.2 years. There was only one re-dislocation. Apprehension was positive in two patients of Bankart repair, eight patients of Bankart remplissage and none of Latarjet procedure groups. The movement limitation average of the external rotation was 9.12° in Bankart repair, 7° in Bankart rempilssage and 18.53° in Latarjet procedure groups. The means of visual analogue scales were 0.29, 0.76, and 0.38 in Bankart repair, Bankart remplissage and Latarjet procedure groups. Conclusion: All operations had had satisfactory results. Remplissage does not induce more restriction on the range of motion. However, in case of more bone loss in the humeral head, apprehension seems to be more positive in those who do remplissage. Latarjet procedure seems to be very effective but causes more range of motion restrictions.