Evidence map›Paper›PMID 41836574›Full record

ReviewJournal of orthopaedic translation2026

Bankart surgery is the most effective treatment for first-time anterior shoulder dislocation without significant bone loss - Systematic review and network meta-analysis.

Eszter Éva Virág-Tulassay, Alexander Kancsev, Anna Sára Lengyel, Marie Anne Engh, Noémi Gede, Péter Hegyi, Gábor Skaliczki

Abstract readReview
In one paragraph

Review in Journal of orthopaedic translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eszter Éva Virág-TulassayCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Alexander KancsevCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Anna Sára LengyelCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Marie Anne EnghCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Noémi GedeCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Gábor SkaliczkiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The shoulder is the most commonly dislocated joint, with a recurrence rate of up to 100 % in the untreated young population. However, a clear and universally accepted treatment guideline is still missing. Our study aimed to provide an international literature review that could help find the most effective therapy. Methods: We comprehensively searched three databases (PubMed, Embase, and Cochrane), including 19 randomized controlled trials. Based on these, we conducted a network meta-analysis to examine the success rates of three different treatment methods after first-time acute anterior shoulder dislocation: fixation in internal rotation (IR imm), external rotation (ER imm), and arthroscopic Bankart (Art Bkrt) surgery. The main focus of our study was the safety and efficacy of the different therapies. The risk of bias was assessed using Rob2. Outcome measures were standardized mean difference (SMD) for continuous data and odds ratio (OR) for dichotomous data. Results: P score for redislocation was significantly higher in the arthroscopic Bankart group, reaching 0.9994 compared to the values of the external rotation and internal rotation groups (p = 0.3012, p = 0.1994, respectively). The same results were obtained for subluxation and residual feeling of instability, favoring arthroscopic Bankart repair against conservative treatment options. Conclusion: Arthroscopic Bankart surgery has the best success rate for first-time anterior shoulder dislocation without significant bone loss in terms of redislocation, subluxation, and instability. Conservative treatments provide inferior results. The translational potential of this article: To our knowledge, the most common international treatment methods for acute first-time anterior shoulder dislocations without significant bone loss have not yet been compared. Based on our study, the Bankart procedure is more effective than conservative treatment in preventing recurrence, especially after a 24-month follow-up period. In contrast, the results achieved with external rotation fixation are significantly weaker, while the effectiveness of internal rotation fixation is significantly lower than that of surgical intervention.

Indexed as

BankartGlenohumeralImmobilizationInstabilityShoulderSurgery

Identifiers

PMID41836574
PMCPMC12988506

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.