A Comparison of Arthroscopic Bankart Repair and the Latarjet Procedure in Contact Athletes With Anterior Shoulder Instability: A Systematic Review and Meta-analysis.
Dane C Peckston, Danny Deng, Sara Sadat Farshidfar et al.
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In 30 seconds
This systematic review and meta-analysis compared arthroscopic Bankart repair (ABR) with the Latarjet procedure for primary anterior shoulder instability in contact athletes. Across 29 studies involving 2103 patients, recurrence was lower after Latarjet than ABR (7% vs 15%; P = .014), while complications were more frequent (8% vs 2%; P < .0001). Revision rates, return-to-sport outcomes and timing, and functional scores were similar. The findings indicate a trade-off between recurrence and complications, rather than a clear overall advantage for either procedure.
Key findings
- Recurrence was 7% after Latarjet and 15% after ABR (P = .014).
- Complications occurred in 8% after Latarjet versus 2% after ABR (P < .0001).
- Revision rates were similar: 6% for Latarjet and 7% for ABR (P = .402).
- Return-to-sport rates were 86% for Latarjet and 89% for ABR; mean return times were 5.88 and 5.34 months, respectively (P = .365).
Why it matters
For contact athletes, recurrent instability and procedure-related complications are both important outcomes. This synthesis suggests that the procedures differ in these risks, while reported revision, functional, and return-to-sport outcomes are broadly comparable. Understanding that trade-off can inform discussion of surgical options without implying that one procedure is preferable for every athlete.
What to keep in mind
The review was based on studies classified as level 4 evidence, and the abstract does not report randomized comparisons.