Arthroscopic vs Open Bankart Repair for Anterior Shoulder Instability: A Systematic Review and Meta-analysis.
Marc Boutros, Guy Awad, Jean-Pierre Saad et al.
✦ AI-curated · Sources linked
In 30 seconds
This systematic review and meta-analysis compared arthroscopic and open Bankart repair for anterior shoulder instability across various outcomes. Analyzing 32 studies, the results indicated no significant differences in postoperative dislocation, instability, or patient-reported outcomes between the two techniques. However, arthroscopic repair was associated with a shorter hospital stay and a higher reoperation rate (RR, 2.15; P = .0004).
Key findings
- No significant differences in postoperative dislocation (P = .05) or overall instability (P = .06) between techniques.
- Arthroscopic repair resulted in a shorter hospital stay (P = .0001).
- Reoperation rates were higher after arthroscopic repair (RR, 2.15; P = .0004).
- Subgroup analysis showed no differences in outcomes for studies published from 2010 onward.
Why it matters
Understanding the comparative effectiveness of arthroscopic versus open Bankart repair is crucial for clinicians in making informed surgical decisions for patients with anterior shoulder instability, particularly regarding recovery and complication rates.