Pasqualini Ignacio, Turan Oguz A, Hurley Eoghan T, Frangiamore Salvatore J, Levin Jay M, Dickens Jonathan F, Klifto Christopher S, Rossi Luciano A
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Department of Orthopedic Surgery, Division of Hand and Upper Extremity, Duke University, Durham, NC, USA.
Shoulder Elbow. 2025 Jul;17(3):288-297. doi: 10.1177/17585732241249959. Epub 2024 May 5.
BACKGROUND: The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair. METHODS: A systematic literature search based on Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases was performed. Manuscripts were included if they studied collision or contact athletes, reported on return to play rates or percentages, underwent arthroscopic Bankart repair, published in a peer-reviewed journal, and published in English. The study characteristics and clinical outcomes were extracted. RESULTS: A total of 19 studies with 1077 patients were included. Among collision athletes undergoing arthroscopic Bankart repair, the overall rate of return to sports was 89.8% (range 72%-100%). The mean time to return to sports was 5 months (range 3-6). The overall rate of returning to the same level of play was 80.8% (range 71.1%-100%). There were high return to sports rates among all collision sports. Specific return-to-play criteria were reported in most of the studies (95%), with time to return to sport being the most reported item (89.4%). CONCLUSION: Although overall return to sport among collision athletes following arthroscopic Bankart repair remains high, the proportion of athletes returning to their preoperative level of play was substantially lower.
背景:本研究的目的是系统回顾关节镜下Bankart修复术后碰撞类运动项目运动员恢复运动的比例和时间框架。 方法:根据系统评价和Meta分析的首选报告项目指南,利用EMBASE、MEDLINE和Cochrane图书馆数据库进行系统的文献检索。纳入的研究需满足研究对象为碰撞或接触类运动项目运动员、报告了恢复运动的比例或百分比、接受了关节镜下Bankart修复、发表在同行评审期刊且为英文发表。提取研究特征和临床结果。 结果:共纳入19项研究,涉及1077例患者。在接受关节镜下Bankart修复的碰撞类运动项目运动员中,恢复运动的总体比例为89.8%(范围72%-100%)。恢复运动的平均时间为5个月(范围3-6个月)。恢复到术前运动水平的总体比例为80.8%(范围71.1%-100%)。所有碰撞类运动项目的恢复运动比例都很高。大多数研究(95%)报告了具体的恢复运动标准,其中恢复运动时间是报告最多的项目(89.4%)。 结论:虽然关节镜下Bankart修复术后碰撞类运动项目运动员恢复运动的总体比例仍然很高,但恢复到术前运动水平的运动员比例要低得多。
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