Department of Orthopedics, Ahad Rufaidah General Hospital, Abha, Saudi Arabia.
Department of Orthopedics, Aseer Central Hospital, Abha, Saudi Arabia.
Med Sci Monit. 2024 Oct 21;30:e945942. doi: 10.12659/MSM.945942.
BACKGROUND The shoulder is a complex joint that has the most extensive range of motion among all joints, resulting in more susceptibility to dislocation. The treatment for acute shoulder dislocation is closed reduction, which should be performed immediately. Arthroscopic Bankart repair (ABR) is a procedure for treating anterior shoulder instability. This systematic review aimed to evaluate the published literature on ABR for anterior shoulder instability. MATERIAL AND METHODS We searched electronic databases, including Google Scholar, PubMed, Science Direct, Scopus, and PubMed, to find literature about our topic published between 2018 and 2023. Different keywords were searched, including "ABR, shoulder, instability, dislocation, treatment, management, recurrence, outcomes, and complications". The inclusion criteria were English original articles with available full text. RESULTS Only 8 articles were included; the articles included a total of 398 patients with an age range of 15 to 55 years old. One study was conducted on male patients, and another was conducted on female patients, whereas the remaining studies were conducted on both sexes. Among the 8 studies, 4 studies conducted ABR alone, and all reported significant change with ABR. Four studies compared ABR with Latarjet, concomitant remplissage, and immobilization and reported that ABR is equivalent or better than these interventions. CONCLUSIONS ABR was effective in the management of shoulder instability, as it resulted in a lower rate of recurrence, low rate of complications, and high rate of return to sport, regardless of the suture type. However, it is superior or similar to other interventions, like Latarjet and concomitant remplissage.
肩部是一个复杂的关节，它具有所有关节中最广泛的运动范围，因此更容易脱位。急性肩关节脱位的治疗方法是闭合复位，应立即进行。关节镜下 Bankart 修复术（ABR）是治疗前肩不稳定的一种方法。本系统评价旨在评估关于前肩不稳定的 ABR 文献。
我们搜索了电子数据库，包括 Google Scholar、PubMed、Science Direct、Scopus 和 PubMed，以找到 2018 年至 2023 年间发表的关于我们主题的文献。搜索了不同的关键词，包括“ABR、肩、不稳定、脱位、治疗、管理、复发、结果和并发症”。纳入标准为具有可用全文的英文原始文章。
仅纳入了 8 篇文章；这些文章共纳入了 398 例年龄在 15 至 55 岁之间的患者。有 1 项研究仅针对男性患者，另一项研究仅针对女性患者，而其余研究则同时针对男性和女性患者。在这 8 项研究中，有 4 项研究单独进行了 ABR，所有研究均报告 ABR 有显著改善。有 4 项研究比较了 ABR 与 Latarjet、联合填充和固定，并报告 ABR 与这些干预措施等效或更好。
ABR 在前肩不稳定的治疗中是有效的，因为它的复发率较低、并发症发生率低、重返运动的比例高，无论缝线类型如何。然而，它优于或类似于其他干预措施，如 Latarjet 和联合填充。
