COMPARATIVE STUDY BETWEEN ARTHROSCOPIC BANKART REPAIR WITH REMPLISSAGE VERSUS LATARJET PROCEDURE IN PATIENTS WITH TRAUMATIC ANTERIOR SHOULDER INSTABILITY

Abstract

Traumatic anterior shoulder instability is a common clinical condition, particularly among young, active individuals, often resulting from sports injuries or accidents. Recurrent dislocations can lead to significant impairment and reduced quality of life, necessitating surgical intervention to restore joint stability and function. Two widely accepted surgical treatments for this condition are the arthroscopic Bankart repair combined with Remplissage, and the Latarjet procedure. The former technique involves reattachment of the detached anteroinferior labrum to the glenoid rim, addressing the soft tissue injury, while the Remplissage component fills the Hill-Sachs lesion using the infraspinatus tendon and posterior capsule, thereby reducing the risk of engagement. On the other hand, the Latarjet procedure involves transferring the coracoid process with its attached muscles to the anteroinferior glenoid, providing a bony block and dynamic sling effect to prevent further dislocations. AIM OF THE WORK:The primary objective of this study was to compare the functional and clinical outcomes of patients undergoing the Latarjet procedure versus those treated with arthroscopic Bankart repair combined with remplissage. The study aimed to assess differences in postoperative shoulder stability, pain levels, range of motion, recurrence rates, and overall patient satisfaction. The hypothesis was that both techniques provide effective stabilization, but each may offer distinct advantages in different clinical scenarios.