ArticleOrthopaedic journal of sports medicine2026
Subjective Shoulder Instability Following Anterior Stabilization: Incidence and Time to Resolution After Latarjet Versus Bankart Repair.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Isolated arthroscopic Bankart repair and the Latarjet procedure are widely used to treat recurrent anterior shoulder instability. The incidence and duration of postoperative subjective instability, and whether they differ between these techniques, remain poorly defined. Purpose: To compare the postoperative subjective sense of instability between patients undergoing Latarjet versus isolated Bankart repair for anterior shoulder instability, with secondary analysis of functional outcomes, dislocation, subluxation, and reoperation rates. Study Design: Cohort study; Level of evidence, 3. Methods: Patients treated with either primary open Latarjet or arthroscopic isolated Bankart repair were retrospectively reviewed between 2014 and 2022, with a minimum of 4 years' follow-up. Patients undergoing revision procedures or those who underwent concomitant procedures at the time of either Latarjet or arthroscopic Bankart repair were excluded. Functional outcomes (Constant and Rowe scores), subjective instability, dislocation, and reoperation rates were recorded. Results: A total of 104 patients met inclusion criteria, of whom 53 underwent the Latarjet procedure and 51 underwent arthroscopic isolated Bankart repair. The mean follow-up duration was comparable between groups (Latarjet: 69.4 ± 20.6 months; Bankart: 69.9 ± 19.0 months; Conclusion: The sense of postoperative instability was common and occurred more frequently after isolated arthroscopic Bankart repair than after the Latarjet procedure; however, persistent subjective instability at final follow-up occurred at similar rates between groups. While both procedures achieved excellent functional outcomes, the Latarjet procedure was associated with lower redislocation rates and similar revision and reoperation rates. Its duration was similar between techniques, and its presence was not associated with an increased risk of dislocation.
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