PROOF OF VALUE OF ANTERIOR GLENOHUMERAL INSTABILITY TECHNIQUES

Abstract

ABSTRACT Arthroscopic Bankart and Coracoid Transfer are the most common procedures. Results of Bankart technique differ depending on the surgeon’s experience (type of anchors used, qualification, long learning curve). Performing Arthroscopic Bankart may be effective when there is minimal bone loss (< 10–15%), good soft tissue (no ALPSA) and ISIS < 3. With these assumptions long term recurrence rate (RR) can be stated as 8%. Adding of remplissage improves RR to 3–6%, which is comparable to Latarjet with RR 4.4–6%. Coracoid transfer has advantage of being quicker, safer and cheaper. It must be underlined that this type of surgery is effective for patients with risk factors (probably regardless risk). Moreover, we assume that good function and satisfaction level with high return to sport (85%) is associated with this intervention. Still some issues remain like frequent complications (mostly temporary) like apprehension or residual pain. Learning curve is also not in favor of this technique. Yet it is difficult to conclude whether Arthroscopic Bankart or Coracoid Transfer are superior. Free bone block has comparable results to Latarjet, with the main problem being donor side complication in autografts. Open Bankart also do not stand out of Coracoid Transfer