Functional Outcomes of Arthroscopic Bankart Repair in Indian Population: A Systematic Review and a Meta-analysis
Abstract Introduction: The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability. Currently, arthroscopic Bankart repair (ABR) is popular in the treatment of anterior shoulder instability. There is a dramatic rise in the number...
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| Published in: | Journal of arthroscopy and joint surgery Vol. 11; no. 2; pp. 86 - 91 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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India
Wolters Kluwer - Medknow
01.04.2024
Medknow Publications & Media Pvt. Ltd |
| Edition: | 2 |
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| ISSN: | 2542-6001, 2214-9635 |
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| Abstract | Abstract
Introduction:
The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability. Currently, arthroscopic Bankart repair (ABR) is popular in the treatment of anterior shoulder instability. There is a dramatic rise in the number of orthopedic surgeons in India specializing in shoulder surgery and is believed to be secondary to the advancement in arthroscopic techniques and implants. However, there is a paucity of Indian literature on functional outcomes of ABR. The purpose of the current review is to better understand the functional outcomes of ABR in the Indian population.
Methods:
A search of major databases (Embase, Ovid Medline, Google Scholar, and Cochrane Library) was performed in April 2020. Reference lists of selected research articles were further screened in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion and exclusion criteria for analysis were used to generate the final list of studies.
Results:
A total of ten research studies were included in the final analysis representing a pooled patient population set of 391 patients. The mean age for patients across the studies was 27 years (range: 24-29) of age and the average number of dislocations before surgery was five (range: 0-14). The average follow-up period post-surgery was 20 months (range: 6-27 months). Among the functional scores, the average UCLA score improved from 22 (range: 18-30) at preoperatively to 32 (range: 31-35), and the mean Rowe score improved from an average of 27 (range: 24-63) preoperatively to 91 (range: 90-94) during the follow up duration. The average postoperative re-dislocation rate was 7% (range: 0%-10%).
Conclusion:
In the Indian population, ABR provides consistently good functional outcomes with a low postoperative re-dislocation rate, which is at par with the global data. Further studies with larger sample sizes and longer follow-ups are needed to validate these results. |
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| AbstractList | Abstract
Introduction:
The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability. Currently, arthroscopic Bankart repair (ABR) is popular in the treatment of anterior shoulder instability. There is a dramatic rise in the number of orthopedic surgeons in India specializing in shoulder surgery and is believed to be secondary to the advancement in arthroscopic techniques and implants. However, there is a paucity of Indian literature on functional outcomes of ABR. The purpose of the current review is to better understand the functional outcomes of ABR in the Indian population.
Methods:
A search of major databases (Embase, Ovid Medline, Google Scholar, and Cochrane Library) was performed in April 2020. Reference lists of selected research articles were further screened in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion and exclusion criteria for analysis were used to generate the final list of studies.
Results:
A total of ten research studies were included in the final analysis representing a pooled patient population set of 391 patients. The mean age for patients across the studies was 27 years (range: 24-29) of age and the average number of dislocations before surgery was five (range: 0-14). The average follow-up period post-surgery was 20 months (range: 6-27 months). Among the functional scores, the average UCLA score improved from 22 (range: 18-30) at preoperatively to 32 (range: 31-35), and the mean Rowe score improved from an average of 27 (range: 24-63) preoperatively to 91 (range: 90-94) during the follow up duration. The average postoperative re-dislocation rate was 7% (range: 0%-10%).
Conclusion:
In the Indian population, ABR provides consistently good functional outcomes with a low postoperative re-dislocation rate, which is at par with the global data. Further studies with larger sample sizes and longer follow-ups are needed to validate these results. AbstractIntroduction:The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability. Currently, arthroscopic Bankart repair (ABR) is popular in the treatment of anterior shoulder instability. There is a dramatic rise in the number of orthopedic surgeons in India specializing in shoulder surgery and is believed to be secondary to the advancement in arthroscopic techniques and implants. However, there is a paucity of Indian literature on functional outcomes of ABR. The purpose of the current review is to better understand the functional outcomes of ABR in the Indian population.Methods:A search of major databases (Embase, Ovid Medline, Google Scholar, and Cochrane Library) was performed in April 2020. Reference lists of selected research articles were further screened in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion and exclusion criteria for analysis were used to generate the final list of studies.Results:A total of ten research studies were included in the final analysis representing a pooled patient population set of 391 patients. The mean age for patients across the studies was 27 years (range: 24-29) of age and the average number of dislocations before surgery was five (range: 0-14). The average follow-up period post-surgery was 20 months (range: 6-27 months). Among the functional scores, the average UCLA score improved from 22 (range: 18-30) at preoperatively to 32 (range: 31-35), and the mean Rowe score improved from an average of 27 (range: 24-63) preoperatively to 91 (range: 90-94) during the follow up duration. The average postoperative re-dislocation rate was 7% (range: 0%-10%).Conclusion:In the Indian population, ABR provides consistently good functional outcomes with a low postoperative re-dislocation rate, which is at par with the global data. Further studies with larger sample sizes and longer follow-ups are needed to validate these results. |
| Author | Paul, Souvik Arora, Manit Chitten, Jojin Jose Kalia, R. B. |
| Author_xml | – sequence: 1 givenname: R. B. surname: Kalia fullname: Kalia, R. B. – sequence: 2 givenname: Manit surname: Arora fullname: Arora, Manit – sequence: 3 givenname: Souvik surname: Paul fullname: Paul, Souvik – sequence: 4 givenname: Jojin Jose surname: Chitten fullname: Chitten, Jojin Jose email: jojinjosec@gmail.com |
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| Cites_doi | 10.12659/MSM.894346 10.1016/j.jse.2016.05.002 10.1016/j.cjtee.2019.12.003 10.1016/j.mjafi.2017.05.004 10.22271/ortho.2018.v4.i1p.156 10.1007/BF01565465 10.4103/0019-5413.104205 10.1007/s12178-017-9435-2 10.4103/ortho.IJOrtho_168_17 10.1177/2309499019832708 10.1177/036354659602400204 10.1016/j.arthro.2007.03.092 10.1177/0363546516658037 10.1016/S0749-8063(05)80308-1 10.1177/2325967116654114 10.5958/2231-6728.2014.00889.0 10.1177/0363546511406869 10.18203/issn.2455-4510.IntJResOrthop20200524 10.1016/j.jse.2016.01.019 10.33545/orthor.2018.v2.i3a.52 |
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| References_xml | – volume: 21 start-page: 3028 year: 2015 ident: R6-20240903 article-title: A meta-analysis of arthroscopic versus open repair for treatment of Bankart Lesions in the shoulder publication-title: Med Sci Monit doi: 10.12659/MSM.894346 – volume: 3 start-page: 267 year: 2017 ident: R18-20240903 article-title: Functional outcome of arthroscopic Bankart repair for anterior shoulder instability publication-title: IJOS – volume: 25 start-page: 1549 year: 2016 ident: R7-20240903 article-title: Redislocation risk after an arthroscopic Bankart procedure in collision athletes:A systematic review publication-title: J Shoulder Elbow Surg doi: 10.1016/j.jse.2016.05.002 – volume: 23 start-page: 102 year: 2020 ident: R21-20240903 article-title: Similar functional outcome using single anterior portal and standard two portals technique in recurrent dislocation of shoulder publication-title: Chin J Traumatol doi: 10.1016/j.cjtee.2019.12.003 – volume: 74 start-page: 51 year: 2018 ident: R19-20240903 article-title: Functional outcome after arthroscopic management of traumatic recurrent dislocation shoulder using Bankart repair and Remplissage techniques publication-title: Med J Armed Forces India doi: 10.1016/j.mjafi.2017.05.004 – volume: 4 start-page: 1109 year: 2018 ident: R15-20240903 article-title: Functional results of arthroscopic Bankart repair in Bankart's lesion of the shoulder publication-title: Int J Orthop Sci doi: 10.22271/ortho.2018.v4.i1p.156 – volume: 1 start-page: 113 year: 1993 ident: R3-20240903 article-title: Arthroscopic Bankart procedures for anterior shoulder instability. 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Introduction:
The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability.... AbstractIntroduction:The past two decades have witnessed significant development in arthroscopic management for recurrent anterior shoulder instability.... |
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| Title | Functional Outcomes of Arthroscopic Bankart Repair in Indian Population: A Systematic Review and a Meta-analysis |
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