Department of Orthopaedic Surgery, University of South Alabama, Mobile, Alabama, USA.
Orthop J Sports Med. 2014 Feb 26;2(2):2325967114522960. doi: 10.1177/2325967114522960. eCollection 2014 Feb.
Results of open Bankart repair have been well reported. However, less information is available outlining the timetable for return to play (RTP) in athletes after this procedure.
To review the current literature regarding (1) the timetable recommended for athletes to RTP after an open Bankart repair and (2) the objective criteria on which the decision to allow an athlete to RTP is based.
Systematic review; Level of evidence, 4.
A comprehensive literature search was conducted of all relevant English-language articles using the electronic databases OVID and PubMed between the years 1947 and 2012 to identify open Bankart repair. Two reviewers screened articles for eligibility based on the following criteria: (1) an open Bankart repair, (2) a minimum follow-up of at least 8 months, (3) any report that described the procedure in athletes, and (4) any report that described the time for an athlete to RTP. All relevant data were collected and analyzed with regard to number of patients; mean follow-up; Rowe, Constant, and American Shoulder and Elbow (ASES) scores; redislocation rate; and return-to-sport timing.
In all, 559 relevant citations were identified, of which 29 articles met the inclusion criteria. The mean follow-up was 51.7 months (range, 8-162 months), and the mean age was 25.9 years (range, 21-31 years). The average Rowe score for all studies was 86.9 (range, 63-90). The average redislocation rate was 5.3%. Twenty-six of 29 studies cited a specific timetable for unrestricted RTP, with an average of 23.2 weeks (range, 12-36 weeks). Only 38% of authors reported sport-specific criteria for return to competition, with the majority allowing return to noncontact sports at 12 to 16 weeks, and the resumption of throwing/contact sports by 24 weeks. Three reports described specific functional parameters for RTP.
The current review summarized return-to-play guidelines for athletic competition after open Bankart repair. These data may provide general guidelines to aid surgeons when determining the appropriate timetable to allow an athlete to return to unrestricted competition.
开放 Bankart 修复的结果已有很好的报道。然而，关于该手术后运动员重返赛场（RTP）的时间表信息较少。
综述目前关于（1）运动员行开放 Bankart 修复后 RTP 推荐时间表，（2）决定运动员 RTP 的客观标准的文献。
系统评价；证据水平，4 级。
对 1947 年至 2012 年间使用 OVID 和 PubMed 电子数据库对所有相关英文文献进行全面检索，以确定开放 Bankart 修复。两位评审员根据以下标准筛选文章是否符合入选标准：（1）开放 Bankart 修复，（2）至少 8 个月的随访，（3）描述运动员中该手术的任何报道，以及（4）描述运动员 RTP 时间的任何报道。对所有相关数据进行收集和分析，包括患者人数、平均随访时间、Rowe、Constant 和美国肩肘外科协会（ASES）评分、再脱位率和重返运动时间。
共检索到 559 篇相关文献，其中 29 篇文章符合纳入标准。平均随访时间为 51.7 个月（范围，8-162 个月），平均年龄为 25.9 岁（范围，21-31 岁）。所有研究的平均 Rowe 评分为 86.9（范围，63-90）。平均再脱位率为 5.3%。29 项研究中有 26 项研究给出了无限制 RTP 的具体时间表，平均为 23.2 周（范围，12-36 周）。只有 38%的作者报告了重返比赛的特定运动标准，大多数允许在 12-16 周时重返非接触性运动，在 24 周时恢复投掷/接触性运动。有 3 份报告描述了 RTP 的具体功能参数。
本综述总结了开放 Bankart 修复后运动员重返竞技比赛的指南。这些数据可为外科医生确定允许运动员恢复不受限制比赛的适当时间表提供一般指南。
