Department of Orthopaedic Surgery, University of Connecticut Health Center, University of Connecticut Health Musculoskeletal Institute, 263 Farmington Avenue, Farmington, CT 06030, USA.
Department of Orthopaedic Surgery, University of Connecticut Health Center, University of Connecticut Health Musculoskeletal Institute, 263 Farmington Avenue, Farmington, CT 06030, USA. Electronic address: https://twitter.com/BobArciero.
Clin Sports Med. 2024 Oct;43(4):617-633. doi: 10.1016/j.csm.2023.12.002. Epub 2024 Jan 18.
Historically considered the gold standard technique for glenohumeral instability, the open Bankart repair is being performed at decreased rates because of the current trends favoring arthroscopic Bankart repair and the lack of consistent training of the open technique. However, open Bankart repairs may be more appropriate for certain high-risk populations (ie, high-level collision athletes) because of their reduced recurrent instability rates. Further investigations are needed to identify the indications for arthroscopic versus open Bankart repair and compare their outcomes in high-level athletes. This review highlights the indications, surgical technique, and clinical outcomes following open Bankart repairs in athletes.
从历史上看，开放式 Bankart 修复术被认为是治疗肩盂肱关节不稳定的金标准技术，但由于目前更倾向于关节镜下 Bankart 修复术，以及开放技术的培训缺乏一致性，该手术的实施率正在下降。然而，对于某些高危人群（例如高水平碰撞运动员），开放式 Bankart 修复术可能更为合适，因为其复发性不稳定率较低。需要进一步的研究来确定关节镜与开放式 Bankart 修复术的适应证，并比较它们在高水平运动员中的结果。本综述重点介绍了运动员中行开放式 Bankart 修复术的适应证、手术技术和临床结果。
