Lk. Hovelius et al., Long-term results with the Bankart and Bristow-Latarjet procedures: Recurrent shoulder instability and arthropathy, J SHOUL ELB, 10(5), 2001, pp. 445-452
We retrospectively analyzed 26 shoulders in 24 patients 16 to 20 years (mea
n, 17.5 years) after a Bankart repair and compared these with a prospective
series of 30 shoulders in 28 patients 15 years (mean, 15.1 years) after a
Bristow-Latariet repair for recurrent anterior dislocation of the shoulder.
At follow-up one patient in each group had undergone revision surgery for
recurrent instability. Two patients in the Bankart group had spontaneous st
abilization of postoperative instability Further, one patient in this group
had had one subluxation during the follow-up period. In the Bristow group
one patient reported 3 recurrences 3 years postoperatively. This patient ha
s had no further redislocations during the past 12 years. Subluxations occu
rred occasionally several times in 2 patients in the Bristow group, but the
se patients were satisfied with the procedures at follow-up, No patient in
the Bankart group had apprehension at follow-up. Eight patients in the Bris
tow group had subjective and/or objective apprehension. Throwing ability af
ter surgery in the dominant shoulder was considered normal in 8 of 12 patie
nts in the Bristow series and in I of I I patients in the Bankart series. I
n the Bankart group 17 patients were "very satisfied" with the operative re
sult, 7 were "satisfied," and 7 was "dissatisfied." The corresponding figur
es for the Bristow group were 24 who were very satisfied and 5 who were sat
isfied. Dislocation arthropathy was found in 16 of 26 Bankart shoulders (14
mild and 2 moderate) and in 9 of 30 Bristow shoulders (5 mild, 3 moderate,
and 1 severe). The Bankart procedure seemed to be more successful than the
Bristow-Latariet repair when stability at follow-up was considered. Howeve
r, when other criteria, as well as the patients' assessment of the operativ
e result, are included, both methods can be recommended without any major d
ifferences.