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Background <p>Shoulder instability is a common condition among young athletes, with high recurrence rates following conservative treatment. Bankart repair is a widely used surgical approach, but its failure rate remains significant, even for non-engaging defects. Combining Bankart repair with remplissage has been proposed to reduce recurrence rates.</p> Methods <p>This retrospective, single-center study analyzed the long-term outcomes of young athletes (18–30&#xa0;years old) who underwent Bankart repair combined with remplissage after a first anterior glenohumeral dislocation. Patients were evaluated at least five years postoperatively for recurrence rates, functional outcomes (Walch-Duplay, WOSI, Quick-DASH), return to sports, and the need for revision surgery.</p> Results <p>Twenty-five patients were included, with an average follow-up of 81.4&#xa0;months. The recurrence rate was 12% (3/25), with one patient requiring revision surgery. Functional scores were satisfactory (Walch-Duplay: 89.5, WOSI: 10.95, Quick-DASH: 14.30), and 84% of patients returned to sports at their previous level or higher. No significant complications were reported.</p> Conclusion <p>Bankart repair combined with remplissage appears to be an effective first-line treatment for young athletes with a first anterior shoulder dislocation, achieving a low recurrence rate and high return-to-sport levels. Further prospective, comparative studies are needed to validate these findings.</p>

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Bankart repair and remplissage for surgical treatment of first episode of acute anterior shoulder dislocation: long-term results

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月30日

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  • Pascal Malandri Ghipponi,
  • Bahu Edouard,
  • Marc Limousin,
  • Guillaume Strouk,
  • Pierre-Emmanuel Ridon,
  • Franck Remy,
  • Eric Meyer,
  • Aurélien Moulin-Traffort,
  • Thomas Amouyel,
  • Carlos Maynou,
  • Clement Dambielle

摘要

Background

Shoulder instability is a common condition among young athletes, with high recurrence rates following conservative treatment. Bankart repair is a widely used surgical approach, but its failure rate remains significant, even for non-engaging defects. Combining Bankart repair with remplissage has been proposed to reduce recurrence rates.

Methods

This retrospective, single-center study analyzed the long-term outcomes of young athletes (18–30 years old) who underwent Bankart repair combined with remplissage after a first anterior glenohumeral dislocation. Patients were evaluated at least five years postoperatively for recurrence rates, functional outcomes (Walch-Duplay, WOSI, Quick-DASH), return to sports, and the need for revision surgery.

Results

Twenty-five patients were included, with an average follow-up of 81.4 months. The recurrence rate was 12% (3/25), with one patient requiring revision surgery. Functional scores were satisfactory (Walch-Duplay: 89.5, WOSI: 10.95, Quick-DASH: 14.30), and 84% of patients returned to sports at their previous level or higher. No significant complications were reported.

Conclusion

Bankart repair combined with remplissage appears to be an effective first-line treatment for young athletes with a first anterior shoulder dislocation, achieving a low recurrence rate and high return-to-sport levels. Further prospective, comparative studies are needed to validate these findings.