Background Outcomes after isolated arthroscopic Bankart repair (ABR) depend on patient selection in athletes. Methods Retrospective cohort of athletes 10% glenoid bone loss, off-track Hill–Sachs, humeral avulsion of the glenohumeral ligament, superior labrum from anterior to posterior/posterior labral tears, prior surgery, hyperlaxity, multidirectional instability, acute bony Bankart, and collision sports. Outcomes: return to sport (RTS), Rowe, Subjective Shoulder Value (SSV), and Athletic Shoulder Outcome Scoring System (ASOSS). Recurrence was dislocation or clinically verified subluxation. Kaplan–Meier recurrence-free survival (RFS) and crude Cox regression by sport type were used. Results 215 athletes met eligibility criteria and underwent isolated ABR; 205 completed follow-up; median age 20 years. Mean follow-up was 5.87 years (range: 4.0–7.75). RTS was 93.2%, and 86.8% returned to preinjury level at 5.09 ± 1.03 months. Rowe improved 45→95, SSV 50→90, and ASOSS 53→93 (all p < . 001). Rowe minimal clinically important difference was achieved by 94.6% and ASOSS PASS by 100%. RFS was 95.5% at 4 years and 93.1% at 6 years; contact–overhead athletes showed lower RFS (HR 2.5; p = .03). Conclusion Isolated ABR in selected athletes younger than 30 years was associated with a high rate of RTS, excellent functional outcomes, and a low recurrence rate at mid-term follow-up. Level of evidence IV.
Luco et al. (Tue,) studied this question.