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Subjective Shoulder Instability Following Anterior Stabilization: Incidence and Time to Resolution After Latarjet
Vasileios S Akrivos1, Antonios Koutalos1, Nikolaos Stefanou1
1Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Orthopaedic Journal of Sports Medicine
|August 14, 2026
Summary
The Latarjet procedure resulted in less postoperative shoulder instability compared to isolated Bankart repair, though persistent instability was similar. Latarjet also showed lower redislocation rates, with both techniques yielding good functional outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Instability Research
Background:
- Recurrent anterior shoulder instability is commonly treated with arthroscopic Bankart repair or the Latarjet procedure.
- Postoperative subjective instability incidence and duration differences between these techniques are not well-defined.
Purpose of the Study:
- To compare postoperative subjective instability between Latarjet and isolated Bankart repair.
- To analyze functional outcomes, dislocation, subluxation, and reoperation rates as secondary outcomes.
Main Methods:
- Retrospective review of 104 patients (Latarjet n=53, Bankart n=51) with minimum 4-year follow-up.
- Exclusion of revision or concomitant procedures.
- Assessment of functional scores (Constant, Rowe), subjective instability, dislocations, and reoperations.
Main Results:
- Latarjet group reported less frequent postoperative subjective instability (39.6% vs 62.7%, P=.02) and lower redislocation rates (3.8% vs 17.6%, P=.02).
- Rowe scores were higher in the Latarjet group (94.0 vs 86.3, P=.004); Constant scores were similar.
- Persistent instability at final follow-up and revision rates were comparable between groups.
Conclusions:
- The Latarjet procedure is associated with reduced subjective shoulder instability and lower redislocation rates compared to isolated Bankart repair.
- Both surgical techniques provide excellent functional outcomes for anterior shoulder instability.
- Persistent instability rates were similar at long-term follow-up, regardless of the surgical approach.