Minimizing Risk of Recurrent Instability Following Surgical Stabilization for Anterior Glenohumeral Instability

The most common surgical treatment options for anterior shoulder instability include the arthroscopic Bankart repair with or without adjunct procedures such as remplissage, the open Bankart repair, the Bristow-Latarjet procedure, and anterior free bone block transfers. The choice between non-operative treatment and 1 of the aforementioned procedures inherently impact the risk of recurrent instability. The purpose of this article is to discuss the timing of surgery in the in-season athlete, evaluate the evolving concept of glenoid and bipolar bone loss, and to discuss various surgical treatment options with a specific focus on minimizing recurrent instability rates following surgical stabilization.