Introduction
Recurrent anterior shoulder instability can be a persistent challenge for athletes and active individuals. While the isolated arthroscopic Bankart (IAB) repair has been a widely used option, the open Latarjet procedure (OLP) has gained recognition for its lower recurrence rates. A study done by Dr. Okoroha’s colleagues show insight into the long-term effectiveness of these procedures, especially for patients without preoperative bone loss, helping them make informed surgical decisions.
Study Highlights
Patient Demographics:
This study analyzed 685 patients who underwent surgical stabilization for recurrent anterior instability, with 45 matched pairs receiving either IAB or OLP.
Follow-ups:
Patients were followed for an average of 9 years and 3 months, providing a comprehensive look at long-term outcomes.
Positive Outcomes:
The recurrence rate was significantly lower in the OLP group (2%) compared to the IAB group (20%). Both groups demonstrated similar external rotation (68° vs. 72°) and minimal pain levels (1.2 vs. 1.5 on the visual analog scale). Return-to-sport rates were 89% for OLP and 73% for IAB, though this difference was not statistically significant.
Conclusion
For individuals undergoing surgery for recurrent shoulder instability, the choice between IAB and OLP should be carefully considered. While IAB may still be an option for some patients without bone loss, this study highlights the significantly lower recurrence rates associated with the OLP procedure. With an 11-fold increased risk of instability recurrence following IAB, athletes and active individuals may benefit from discussing the long-term advantages of OLP with their orthopedic surgeon. Ensuring stability and minimizing the risk of re-injury can be essential for maintaining peak performance and avoiding future surgeries.
At Mayo Clinic, located in Minneapolis, Minnesota, we are committed to providing personalized care and innovative treatments to help athletes reach their full potential. To learn more about shoulder instability, shoulder labral tears, and shoulder labral repair, schedule a consultation with Dr. Okoroha today. Seeing patients from Minneapolis, St. Paul, Plymouth, Edina, Minnetonka, Rochester, and Minnesota ensures that athletes receive specialized care aimed at maximizing their athletic performance and long-term shoulder health.
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