To report the clinical outcomes, return to sport (RTS) and psychological readiness of patients who underwent arthroscopic Bankart repair with knotless all-suture anchors with a minimum follow-up of 2 years. In this retrospective case series, consecutive patients who underwent primary arthroscopic Bankart repair using knotless all-suture anchors between 08/2019 and 07/2022 were included. Patient-reported outcomes were assessed using the Western Ontario Shoulder Instability Index (WOSI), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), Shoulder Instability-Return to Sport after Injury (SI-RSI) scale, subjective shoulder value (SSV), and the visual analogue scale (VAS) for pain. Patient satisfaction, RTS, return to preinjury level of sport, instability recurrence and revisions were recorded. Receiver operating characteristic (ROC) curve was calculated to assess the discriminative performance of the SI-RSI scale, and the Youden's index was employed to determine the optimal cutoff for prediction of return to preoperative level of sports. Of 57 patients eligible for inclusion, 46 patients (11.1% female, 28.7 ± 6.8 years at surgery) were available at a follow-up of 2.9 [2.3-3.4] years. Three patients (6.5%) reported a redislocation, one patient (2.2%) underwent a revision and was excluded from analysis. At final follow-up, an ASES score of 98 (92-100), a DASH score of 2.5 (0-6.7), a WOSI of 11 (3.3-18), an SSV of 93 (85-97) along with low levels of pain were reported. A total of 43 (97.7%) of patients reporting preoperative activity (n = 44) achieved RTS, with 20 patients (45.5%) who had returned to preoperative level of sports. Patients achieving return to preoperative level of sports had a significantly higher SI-RSI scale (89 [83-94]) than those who did not (61 [50-81], p < 0.001). The SI-RSI showed high discriminative performance for return to preoperative level of sports (area under ROC curve: 0.84 [95%CI 0.73-0.97]) with an optimal cutoff of 80 (Youden's index: 0.597). At short-term follow-up, Bankart repair using knotless all-suture anchors demonstrated favorable patient-reported outcomes and low redislocation rates. Patients who did not return to their preinjury level of sport exhibited significantly lower psychological readiness. The SI-RSI exhibited high discriminative performance in predicting return to preoperative level of sports, with an optimal cutoff value of 80. IV - Retrospective case series.

Anterior shoulder instability is a frequent and often career-limiting problem in contact sports. Surgical intervention is frequently required to restore stability and reduce the risk of recurrence. Arthroscopic Bankart repair (ABR) and the Latarjet procedure are widely used, but direct comparative data in contact athletes remain limited. To compare clinical outcomes, recurrence, complications, and return-to-sport (RTS) timelines between ABR and the Latarjet procedure in contact athletes. Systematic review and meta-analysis; Level of evidence, 4. A systematic review and meta-analysis was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, Ovid MEDLINE, Embase and Cochrane databases were searched for studies reporting recurrence, revision, complications, RTS, and functional outcomes in contact athletes undergoing primary ABR or the Latarjet procedure for anterior shoulder instability. In total, 29 studies involving 2103 patients (1443 ABR, 660 Latarjet) were included in this analysis. The Latarjet procedure demonstrated a lower recurrence rate (7% vs 15%; P = .014) but similar revision rates (6% for the Latarjet procedure vs 7% for ABR; P = .402). ABR was associated with fewer complications (2% vs 8%; P < .0001). Both procedures achieved high RTS rates (89% for ABR vs 86% for the Latarjet approach) and similar rates of return to the same level of play (78% vs 76%), with no differences under random-effects models. The mean time to RTS was comparable (5.34 months for ABR vs 5.88 months for the Latarjet procedure; P = .365). Pooled postoperative Rowe scores (89.48 for Bankart; 87.41 for the Latarjet procedure; P = .27) and Athletic Shoulder Outcome Scoring System scores were also similar, indicating good functional recovery across both groups. This meta-analysis shows that the Latarjet procedure provides lower recurrence, although at the cost of higher complication risk. ABR offers a safer perioperative profile but with greater risk of recurrent instability. Despite these differences, both procedures achieve comparable revision rates, functional outcomes, RTS rates, and time to return. Procedure selection should therefore be individualized, balancing the athlete's risk of recurrence, tolerance of complications, and performance goals.

Arthroscopic labral repair, including Bankart and related capsulolabral and bony augmentation procedures, are the mainstay treatment for anterior shoulder instability in young, active patients but is limited by clinically meaningful failure rates. This review synthesizes contemporary evidence to define patient-, lesion-, and technique-related risk factors for failure after arthroscopic labral repair and links these risks to functional outcomes, return-to-sport (RTS), and patient-reported outcome measures (PROMs) to guide counseling and procedure selection. Recurrent instability after modern arthroscopic Bankart repair ranges from approximately 15-30% at mid- to long-term follow-up, with age < 20 years emerging as a dominant predictor of failure. Glenohumeral bone loss, off-track or near-track Hill-Sachs lesions and joint hyperlaxity increase risk for failure. Technical factors such as using fewer than three anchors, and suboptimal anchor placement are linked to failure. Across adult, pediatric, and athletic cohorts, stable shoulders achieve good-to-excellent PROMs and high RTS rates, whereas recurrent instability worsens patient satisfaction. Failure after arthroscopic labral repair is driven by several patient- and surgical technique-specific risk factors. Quantification of bone loss and glenoid track, and incorporation of tools such as the Instability Severity Index Score and Pittsburgh Instability Tool can stratify risk and identify patients who may benefit from bone augmentation or remplissage. Despite high lifetime recurrence in some subgroups, most patients without failure achieve durable improvements in pain, function, and RTS, underscoring the importance of tailoring surgical strategy to individual risk profiles to optimize stability and PROMs over the long term.

Background:Despite technical advancements, recurrent glenohumeral joint instability after surgical treatment is still a major issue. Challenging conventional arthroscopic Bankart repair, the labral bridge technique provides an even labral compression to the glenoid rim, potentially enabling anatomic healing and lasting stability.Purpose:To evaluate clinical outcomes after arthroscopic Bankart repair using the labral bridge technique at a short-term follow-up.Study Design:Case series; Level of evidence, 4.Methods:Patients aged 18 to 50 years with traumatic first-time or recurrent shoulder dislocation treated with the arthroscopic labral bridge technique and an early motion rehabilitation protocol were consecutively included. Exclusion criteria were concomitant fractures, bony defects >10%, multidirectional shoulder instability, previous shoulder surgery, epilepsy, or chronic alcohol or drug abuse. Postoperative shoulder stability was assessed using the Rowe score. Patient-reported outcome measures, including the American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE), and Visual Analog Scale (VAS) for pain were evaluated preoperatively and after a minimum of 2 years.Results:A total of 46 patients (mean age, 28.9 ± 9.0 years) were included. At the final follow-up (mean, 35.8 ± 10.3 months), 2 patients (4.3%) experienced a recurrent traumatic anterior dislocation. The Rowe score improved significantly with lasting stability compared to preoperative levels (mean, 93.0 ± 16.7 postoperatively vs 37.8 ± 15.2 preoperatively; P < .001). Except for a significant improvement in forward flexion by 10.5° (P = .013), no differences in postoperative range of motion were observed compared to preoperative levels. The ASES score, SANE, and VAS for pain improved significantly compared to preoperative levels (all P < .001). The minimal clinically important difference was reached by 92.7% of patients for the Rowe score, 92.9% for the ASES score, 83.3% for the SANE, and 73.8% for the VAS for pain. The patient acceptable symptom state was achieved by 92.9% of patients for the ASES score, 83.3% for the SANE, and 97.6% for the VAS for pain.Conclusion:Arthroscopic Bankart repair with the labral bridge technique for the treatment of anterior shoulder instability demonstrates a low recurrent shoulder instability rate and significant improvements in clinical and functional outcomes at a minimum follow-up of 2 years.

Outcomes after isolated arthroscopic Bankart repair (ABR) depend on patient selection in athletes. Retrospective cohort of athletes <30 years undergoing isolated ABR (2017-2020) with minimum 4-year follow-up. Exclusions: >10% glenoid bone loss, off-track Hill-Sachs, humeral avulsion of the glenohumeral ligament, superior labrum from anterior to posterior/posterior labral tears, prior surgery, hyperlaxity, multidirectional instability, acute bony Bankart, and collision sports. Outcomes: return to sport (RTS), Rowe, Subjective Shoulder Value (SSV), and Athletic Shoulder Outcome Scoring System (ASOSS). Recurrence was dislocation or clinically verified subluxation. Kaplan-Meier recurrence-free survival (RFS) and crude Cox regression by sport type were used. 215 athletes met eligibility criteria and underwent isolated ABR; 205 completed follow-up; median age 20 years. Mean follow-up was 5.87 years (range: 4.0-7.75). RTS was 93.2%, and 86.8% returned to preinjury level at 5.09 ± 1.03 months. Rowe improved 45→95, SSV 50→90, and ASOSS 53→93 (all p < .001). Rowe minimal clinically important difference was achieved by 94.6% and ASOSS PASS by 100%. RFS was 95.5% at 4 years and 93.1% at 6 years; contact-overhead athletes showed lower RFS (HR 2.5; p = .03). Isolated ABR in selected athletes younger than 30 years was associated with a high rate of RTS, excellent functional outcomes, and a low recurrence rate at mid-term follow-up. IV.

Patient-reported outcomes decline over time following arthroscopic Bankart repair for anterior shoulder instability.

Previous literature has demonstrated that an increased number of preoperative anterior shoulder instability episodes is associated with recurrent anterior shoulder instability after arthroscopic Bankart repair (ABR). However, a threshold for the number of preoperative instability episodes that increases the risk of recurrent anterior shoulder instability is not well established. To establish a threshold value for the number of preoperative instability episodes that predicts recurrent anterior shoulder instability after ABR and to compare glenoid bone loss, the Hill-Sachs interval, and the distance to dislocation between patients who have surpassed the threshold and those who have not. Retrospective cohort study; Level of evidence, 3. This retrospective review included consecutive patients with "on-track" Hill-Sachs lesions who underwent primary ABR for anterior shoulder instability at a single institution between 2007 and 2019. Patients with an unknown number of preoperative instability episodes, >20% glenoid bone loss, <2 years' follow-up, or age >40 or <14 years were excluded. Logistic regression assessed associations between preoperative anterior shoulder instability episodes and recurrent anterior shoulder instability after ABR, defined as a recurrent subluxation or dislocation. Receiver operating characteristic analysis determined the optimal threshold of preoperative anterior shoulder instability episodes to predict recurrent anterior shoulder instability. Significance was set as P < .050. A total of 151 patients (mean age, 20 ± 5 years; mean follow-up, 6.0 ± 3.1 years) were included, of whom 28 (19%) experienced recurrent anterior shoulder instability. Multiple thresholds showed increased odds of recurrent anterior shoulder instability: ≥2 preoperative anterior shoulder instability events (odds ratio [OR], 9.70 [95% CI, 2.63-35.70]; P = .001), ≥3 events (OR, 3.47 [95% CI, 1.37-8.80]; P = .009), and ≥4 events (OR, 3.08 [95% CI, 1.17-8.08]; P = .023). Receiver operating characteristic analysis revealed that ≥2 preoperative anterior shoulder instability events was the strongest predictor of recurrent anterior shoulder instability (area under the curve = 0.72). A threshold of ≥2 preoperative anterior shoulder instability episodes best predicted recurrent anterior shoulder instability after ABR. Stratification beyond 1 versus ≥2 preoperative anterior shoulder instability episodes did not increase predictive ability. This finding may help surgeons to counsel patients and consider earlier surgical stabilization in those who have sustained anterior shoulder instability episodes.

Traumatic anterior shoulder instability (ASI) is common among young, active patients, with a progression to glenohumeral osteoarthritis (OA) in up to 55% of patients. Surgical stabilization procedures are routinely offered to patients; however, the long-term risk of the development and severity of OA after these interventions remains unclear because of the overlap with injury mechanics. To evaluate the incidence and severity of radiographic OA after surgical treatment for traumatic ASI. Systematic review; Level of evidence, 4. This PROSPERO-registered systematic review and meta-analysis was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search was performed on February 12, 2025, in MEDLINE via PubMed, CINAHL, Embase, CENTRAL and SPORTDiscus, covering publications from 2004 to 2025. Data extracted included the rate of progression to OA (graded in accordance with the Samilson-Prieto or Buscayret classification), incidence of recurrent dislocations, and Rowe score at final follow-up. Cohort characteristics were summarized with weighted means, and data were presented as pooled proportion estimates with 95% confidence intervals (CIs), calculated via meta-analysis of binomial (OA progression, recurrent dislocation) and continuous (Rowe score) variables. A total of 34 studies with a minimum 5-year follow-up comprising 2375 patients and 2403 shoulders were included, and 1962 of these shoulders had follow-up radiographs at a mean follow-up time of 139.0 months. The overall pooled rate of progression to radiographically diagnosed OA was 40.7% (95% CI, 32.6%-49.2%); rates of progression to grade ≥II and grade III OA were estimated to be 10.5% (95% CI, 6.9%-15.6%) and 2.3% (95% CI, 1.1%-4.7%), respectively. The pooled rate of OA at final follow-up based on a surgical intervention was 47.2% (95% CI, 32.0%-63.0%) for arthroscopic Bankart repair, 46.8% (95% CI, 36.6%-57.2%) for open Bankart repair, and 30.3% (95% CI, 20.0%-43.0%) for the Latarjet procedure. The overall pooled rate of recurrent instability was 10.4% (95% CI, 7.7%-13.9%), and the overall pooled Rowe score at final follow-up was 88.2 (95% CI, 86.1-90.3). The progression to radiographic OA occurred in a significant number of patients after surgical treatment for traumatic ASI at long-term follow-up. Although radiographic OA was common, severe degeneration was relatively rare, and functional outcomes remained favorable. These findings provide clinicians with pooled long-term data that can support evidence-based patient counseling, inform surgical planning, and guide future interventional trials.

Abstract The addition of remplissage to arthroscopic Bankart repair in the presence of a Hill‐Sachs lesion can help decrease recurrence of anterior shoulder instability. The remplissage procedure often involves passage of suture from anchors in the Hill‐Sachs lesion to the extra‐articular side of the shoulder capsule followed by knot tying. Extra‐capsular knot tying is difficult to visualize arthroscopically leading to potentially loose knot stacks. The use of knotless fixation in the proper configuration can eliminate the added complexity of this step when securing the infraspinatus tendon and capsule to the Hill‐Sachs lesion while increasing surgical efficiency. A dual knotless suture staple remplissage technique with all‐suture anchors in the beach chair position may provide an efficient and reproducible method for adding stability to anterior labral repair.

Latarjet and Distal Tibia Allograft Provide Higher Functional Outcomes Than Soft Tissue Stabilization After Failed Arthroscopic Bankart Repair in Competitive Athletes.

Editorial Commentary: Preventing the Next Failure: Bone Block Options After Failed Arthroscopic Stabilization.

A retrospective comparative study between knotted and knotless suture anchors in arthroscopic Bankart repair

Individual risk factors for failure after arthroscopic Bankart repair within the Instability severity Index Score (ISIS) and Glenoid Track Instability Management Score (GTIMS) frameworks: A systematic review and meta-analysis.

Does Suture Anchor Number Influence Outcomes after Arthroscopic Bankart Repair? A 2-year Prospective Study

Background:Recurrent anterior shoulder instability rates are high after isolated arthroscopic Bankart repair (ABR), especially among patients with off-track Hill-Sachs lesions (HSLs) and significant glenoid bone loss. However, there are limited data on long-term recurrent anterior shoulder instability rates and patient-reported outcomes (PROs) following isolated ABR among patients with on-track HSLs and <20% glenoid bone loss.Purpose:To evaluate long-term clinical outcomes and PROs after isolated ABR for on-track HSLs with <20% glenoid bone loss, a population where isolated ABR remains indicated.Study Design:Case-control study; Level of evidence, 3.Methods:A retrospective review was conducted on patients undergoing isolated ABR for anterior shoulder instability between 2007 and 2018. Exclusion criteria included age <14 or >40 years, glenoid bone loss >20%, off-track HSL, concomitant remplissage, and revision procedures. All patients were contacted to obtain minimum 7-year clinical outcomes, including recurrent anterior shoulder instability and revision stabilization surgery, as well as PRO measures including Western Ontario Shoulder Index (WOSI), pain visual analog scale (pVAS), and Subjective Shoulder Value scores. Variables were compared between recurrent anterior shoulder instability and revision stabilization surgery groups. Significance was set to P < .05.Results:Long-term outcomes were obtained from 55 patients (mean age, 22 years; 32% of all eligible patients) at a mean follow-up of 10.4 years. Seventeen (31%) patients sustained ≥1 recurrent anterior shoulder instability event, and 8 (15%) patients underwent revision stabilization surgery. Younger age (P = .002) and collision athletics (P = .02) were associated with sustaining recurrent anterior shoulder instability, whereas distance to dislocation was not associated with recurrent anterior shoulder instability (P = .59). However, near-track HSLs (P = .02) and increased glenoid bone loss (P = .007) were associated with undergoing revision stabilization surgery. For every 1% increase in glenoid bone loss, there were 19% higher odds of undergoing revision stabilization surgery (P = .02). With regard to PROs, 67% of patients achieved the Patient Acceptable Symptom State (PASS) for WOSI and 55% of patients achieved the PASS for pVAS. Patients with recurrent anterior shoulder instability were less likely than those without recurrent instability to achieve the PASS for both WOSI (24% vs 87%; P < .001) and pVAS (29% vs 66%; P = .01).Conclusion:Rates of recurrent anterior shoulder instability were high following isolated ABR for on-track HSLs with <20% glenoid bone loss and were associated with inferior PROs at mean 10-year follow-up. Younger age and collision athletics were associated with sustaining recurrent anterior shoulder instability, while increased glenoid bone loss was an independent predictor of undergoing revision stabilization surgery. There remains a clinical need for improved stratification of on-track HSLs to identify patients who may benefit from additional procedures to improve recurrent anterior shoulder instability rates and subjective outcomes at long-term follow-up.

Background: Anterior shoulder instability is a common orthopedic issue that is often linked to Hill-Sachs lesions, especially in young, athletic people. This study compared clinical outcomes in patients with anterior shoulder instability and engaging Hill–Sachs lesions treated with arthroscopic Bankart repair, with or without the addition of remplissage. Material and Methods: This prospective cohort study was conducted between May 2022 and November 2023 at the Department of Orthopedics, Institute of Medical Sciences and SUM Hospital, Bhubaneswar. Sixty patients were enrolled and divided into two groups: Bankart repair alone (n = 30) and Bankart repair with remplissage (n = 30). Clinical outcomes assessed included recurrent instability, range of motion (ROM), Western Ontario Shoulder Instability Index (WOSI), American Shoulder and Elbow Surgeons (ASES) scores, return to work or sports, and complications. Evaluations were performed at 2 weeks, 6 weeks, 6 months, 12 months, and 18 months postoperatively. Results: Both groups demonstrated significant postoperative improvement in ROM, WOSI, and ASES scores. Recurrent instability occurred in one patient (3.3%) in the Bankart-only group and in none of the patients in the remplissage group (p = 0.3132). Two patients (6.7%) in the remplissage group had mild external rotation restriction, although this difference was not statistically significant (p = 0.1503). Rates of return to work and sports were comparable between the two groups, with no significant differences. No major complications were noted. Conclusion: Arthroscopic Bankart repair, with or without remplissage, provides comparable clinical outcomes in patients with anterior shoulder instability and engaging Hill–Sachs lesions. The addition of remplissage does not significantly compromise shoulder ROM or return to sports and may help reduce the risk of recurrent instability. Keywords: Arthroscopic Bankart Repair, Remplissage Procedure, Recurrent Anterior Shoulder Instability, Hill-Sachs Lesion, Shoulder Dislocation, Glenohumeral Joint, Clinical Outcomes.

To evaluate the long-term outcomes of arthroscopic Bankart repair with additional posteroinferior capsular plication in patients with anterior shoulder instability and hyperlaxity, and to compare the outcomes of posteroinferior capsular plication using suture-only fixation versus suture anchor fixation. In this retrospective study, patients were included who underwent arthroscopic Bankart repair and additional posteroinferior capsular plication for anterior shoulder instability and hyperlaxity (type B3) between 2006 and 2014 at our institution. Primary outcome was recurrent instability. Secondary outcomes were Subjective Shoulder Value (SSV), visual analog scale (VAS), Constant score (CS), Western Ontario Shoulder Instability Index (WOSI) and Rowe score, as well as return to sport. Of 54 included shoulders, 33 shoulders in 32 patients (61.1%) were evaluated after a mean follow-up of 13.2 ± 2.3 years. The overall recurrence rate was 18.2% (6/33). The total revision rate was 9.1%, with two revisions due to recurrent instability and one due to posteroinferior knot impingement. The number of preoperative dislocations correlated negatively with the CS (ρ = -0.425, p = 0.019) and the WOSI (ρ = -0.471, p = 0.009). A total of 97% of all patients returned to sports, with 57.6% returning to 90%-100% of their preoperative sports activity. Posteroinferior capsular plication using suture-only fixation was associated with a higher recurrence rate (3/6, 50%), compared to the use of suture anchor fixation (3/27, 11.1%; p = 0.025). Arthroscopic Bankart repair combined with posteroinferior capsular plication provided durable long-term shoulder function and reliable return to sport in patients with anterior instability and hyperlaxity. Performing the posteroinferior plication with suture anchor fixation might be associated with lower recurrence rates compared to suture-only plication. Clinical outcomes declined with an increasing number of preoperative dislocations. Level III, cohort study.

Recurrent anterior shoulder instability with subcritical glenoid bone loss poses a treatment dilemma. Arthroscopic Bankart repair with additional remplissage and the open Latarjet procedure are commonly used, but their real-world economic impact in Latin America is poorly defined. To compare midterm clinical outcomes and real-world costs between the Latarjet procedure and arthroscopic Bankart repair with additional remplissage in Ecuadorian patients with subcritical glenoid bone loss, representing a surgical decision "gray zone" rather than prognostically equivalent populations. A retrospective cohort of 40 patients (20 per group) with ≥48 months of follow-up was analyzed. Functional outcomes (Constant, Rowe, SANE) and direct and indirect costs were assessed and standardized to 2022 USD. Functional outcomes were comparable, with no recurrent dislocations observed. Total costs were significantly lower for the Latarjet procedure (USD 4625 vs. USD 10,092), mainly due to implant-related expenses. When clinical outcomes are comparable, the Latarjet procedure was associated with lower overall costs, supporting a value-based surgical approach tailored to local healthcare settings. IV - Retrospective Comparative Study.

Background:Recurrent anterior shoulder instability is frequently associated with Hill-Sachs and Bankart lesions, which compromise joint stability. While arthroscopic Bankart repair remains a widely accepted treatment for anterior shoulder instability, combining it with remplissage, with or without anterior subscapularis augmentation (ASA), has been proposed to enhance outcomes in these cases.Purpose:To compare the clinical and functional outcomes of arthroscopic Bankart repair with remplissage, with or without ASA, in patients with recurrent anterior shoulder instability and subcritical glenoid bone loss (GBL) (<15%).Study Design:Cohort study; Level of evidence, 3.Methods:This retrospective cohort study analyzed 56 patients with recurrent anterior shoulder instability who underwent surgery at a single tertiary university hospital between 2018 and 2022. Patients were grouped into 2 categories based on the surgical approach: Bankart repair with remplissage (group A) and Bankart repair with both remplissage and ASA (group B). Functional outcomes were evaluated using the Rowe score and the modified Constant-Murley (CM) score, while external rotation (ER) deficits were measured in adduction (ER1) and at 90° abduction (ER2). In addition, recurrence rates and postoperative clinical scores were systematically analyzed to assess the efficacy of these techniques.Results:The recurrence rates were 5.1% in group A and 0% in group B. Both groups demonstrated significant postoperative improvements in clinical outcomes. In group A, the mean Rowe score improved from 37.8 ± 4.5 to 93.1 ± 5.3 and the CM score from 69.8 ± 7.2 to 96.5 ± 2.5 (P < .0001). In group B, the Rowe score increased from 37.5 ± 6.4 to 94.7 ± 1.2 and the CM score from 71.2 ± 8.3 to 95.4 ± 0.9 (P < .0001). No statistically significant differences were observed between groups in postoperative Rowe (P = .23) or CM scores (P = .08). However, when postoperative range of motion was analyzed, the addition of ASA was associated with greater ER deficits compared with remplissage, both in ER1 (−12.5°± 9.19° vs −18.33°± 2.46°; P = .013) and ER2 (−14.2°± 7.67° vs −18.83°± 1.94°; P = .017).Conclusion:This study demonstrates that adding ASA to arthroscopic Bankart repair with remplissage significantly reduces ER while maintaining excellent clinical outcomes and low recurrence rates. The combination of these techniques provides a viable option for managing recurrent anterior instability, particularly in cases with poor tissue quality and GBL <15%.

Background: A Bankart lesion involves a tear of the anteroinferior glenoid labrum and is commonly seen in young, active individuals following traumatic shoulder instability. This condition often results in pain, restricted range of motion (ROM), muscle weakness, and limitations in activities of daily living (ADLs). Postoperative physiotherapy plays a vital role in restoring shoulder function and preventing recurrent instability. Aim: To evaluate the effectiveness of a Unified Patient-Centered (UPC) rehabilitation protocol in achieving rapid functional recovery following arthroscopic repair of a Bankart lesion. Case Description: A 28-year-old male with a history of a Bankart lesion sustained during recreational sports activity underwent arthroscopic surgical repair. Postoperatively, the patient presented with shoulder pain, restricted ROM, muscle weakness, and difficulty performing ADLs. A Unified Patient-Centered rehabilitation protocol was implemented and continued for a duration of three weeks. Results: After three weeks of intervention, the patient demonstrated approximately 90% improvement in right shoulder ROM. Pain intensity, assessed using the Numeric Pain Rating Scale (NPRS), showed a 95% reduction. Shoulder muscle strength improved by up to 80%, with relatively lower gains observed in the external rotator muscle group. Conclusion: The findings of this case suggest that a Unified Patient-Centered rehabilitation protocol may be effective in promoting rapid and meaningful functional recovery following arthroscopic Bankart repair. Early improvements in shoulder mobility, pain, and strength within a short rehabilitation period highlight the potential clinical value of individualized, patient-centered physiotherapy approaches. Keywords: Bankart Lesion, Unified Patient-Centered Protocol, Post-operative Physiotherapy