Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
J Shoulder Elbow Surg. 2022 Jan;31(1):209-216. doi: 10.1016/j.jse.2021.06.021. Epub 2021 Aug 3.
The purpose of this study was to review the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following revision arthroscopic Bankart repair.
Two independent reviewers performed a literature search based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using the Embase, MEDLINE, and Cochrane Library databases. Studies in which arthroscopic Bankart repair was performed as a revision procedure were included. The clinical outcomes extracted and analyzed were functional outcomes, return to play, and recurrent instability.
Fourteen studies with 433 patients met the inclusion criteria. The majority of patients were male patients (63.7%); the average age was 26.1 years (range, 14-58 years), and the mean follow-up period was 37.6 months (range, 10-144 months). The mean Rowe score was 84.2, and 79.7% of patients had good to excellent outcomes. The rate of return to play was 78.5%, with 47.5% of patients returning to their preinjury level of play across 10 studies. The rate of recurrent instability was reported in 12 studies, with 328 shoulders demonstrating 86 instability events (26.2%). The rate of recurrent instability due to dislocation was reported in 7 studies (n = 176), with 19 events (10.8%), whereas the rate of subluxation was reported in 4 studies (n = 76), with 6 events (7.9%).
Revision arthroscopic Bankart repair for anterior shoulder instability was shown to result in a high rate of recurrent shoulder instability. There was a relatively poor rate of return to sport among athletes, and only about half of the patients were able to return at or above their preoperative level of ability.
本研究旨在回顾文献，确定关节镜下 Bankart 修复翻修后的功能结果、复发率和后续翻修率。
两名独立审查员根据 PRISMA（系统评价和荟萃分析的首选报告项目）指南，使用 Embase、MEDLINE 和 Cochrane 图书馆数据库进行文献检索。纳入关节镜 Bankart 修复作为翻修手术的研究。提取和分析的临床结果是功能结果、重返赛场和复发性不稳定。
符合纳入标准的 14 项研究共 433 例患者。大多数患者为男性（63.7%）；平均年龄为 26.1 岁（范围 14-58 岁），平均随访时间为 37.6 个月（范围 10-144 个月）。平均 Rowe 评分为 84.2，79.7%的患者结果良好至优秀。重返赛场率为 78.5%，10 项研究中有 47.5%的患者重返受伤前的运动水平。12 项研究报告了复发性不稳定的发生率，328 个肩部有 86 个不稳定事件（26.2%）。7 项研究（n=176）报告了脱位导致的复发性不稳定发生率为 19 例（10.8%），4 项研究（n=76）报告了半脱位发生率为 6 例（7.9%）。
关节镜下 Bankart 修复术治疗复发性肩关节不稳定的效果较好，但复发率较高。运动员重返运动的比例相对较低，只有大约一半的患者能够恢复到或高于术前的运动水平。
