Arthroscopic anatomic glenoid reconstruction may be effective for recurrent instability
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Key takeaways:
- Arthroscopic anatomic glenoid reconstruction had lower re-dislocation rates vs. Bankart repair.
- Arthroscopic anatomic glenoid reconstruction had higher hardware irritation rates vs. Bankart repair.
SAN FRANCISCO — Arthroscopic anatomic glenoid reconstruction may be a safe and effective option for the treatment of recurrent instability with subcritical bone loss, according to results presented here.
“Midterm results showed that it is as safe as a Bankart repair, with re-dislocation rates equal to a Latarjet,” Ivan Ho-Bun Wong, MD, said in his presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.
Wong and colleagues performed a retrospective study analyzing data from 72 patients with less than 25% bone loss treated with either arthroscopic anatomic glenoid reconstruction or Bankart repair with a minimum 5-year follow-up.
Outcomes measured included re-dislocation rates, postoperative complications, revision surgery and Western Ontario Shoulder Instability (WOSI) scores.
Wong and colleagues found arthroscopic anatomic glenoid reconstruction had significantly lower re-dislocation rates compared with Bankart repair. However, arthroscopic anatomic glenoid reconstruction had significantly higher hardware irritation rates compared with Bankart repair.
Wong also said that both arthroscopic anatomic glenoid reconstruction and Bankart repairs were associated with improvements in WOSI scores from 0 to 5 years.
“Our future direction is level-1 evidence that we are hoping to get out,” Wong said.
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Wong IHB, et al. Paper 212. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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