Comparison Of Functional Outcomes of Arthroscopic Bankart Repair Vs Open Bristow-Latarjet Procedure for Shoulder Joint Instability
Bibliographic record
Abstract
Background: Anterior shoulder instability predominantly affects collegiate athletes, with a notable incidence of 0.12 per 1000 athletic exposures. Acute dislocations pose an orthopedic emergency requiring immediate repositioning to prevent complications such as brachial plexus or artery compression, avascular necrosis of the humeral head, and chronic disability. Conservative therapy often precedes surgical intervention due to concerns over recovery time, discomfort, decreased range of motion, and high recurrence rates. Objective: This study aims to compare the efficacy of Arthroscopic Bankart Repair and open Bristow-Latarjet Procedure in terms of pain reduction, return to normal activities, and improvement in Western Ontario Shoulder Instability (WOSI) score among patients with anterior shoulder joint instability. Methods: A 12-month comparative study was conducted at Lahore General Hospital from April 2022 to April 2023, following ethical review board approval. Thirty-two patients aged 18–32, with severe unidirectional dislocation, consented and participated. They were divided into two groups: Group A underwent Arthroscopic Bankart Repair, and Group B underwent the open Bristow-Latarjet Procedure. Results: The average age was 23 in Group B and 25 in Group A. Males comprised 80% of Group A and 68% of Group B. WOSI scores averaged 72 for Bankart and 76 for Latarjet. Rowe scores were 75 (Bankart) and 69 (Latarjet), with Quick DASH scores of 11 (Bankart) and 15 (Latarjet). External rotation was 77 degrees in Bankart and 73 degrees in Latarjet. Functional satisfaction was reported by 84.0% of Bankart and 11.7% of Latarjet patients. The cost of Latarjet was significantly lower than that of Bankart. Conclusion: The open Latarjet procedure demonstrated higher functional satisfaction and lower operational costs compared to Arthroscopic Bankart Repair, which exhibited a higher recurrence rate. Given the economic constraints in a developing country like Pakistan, Latarjet may be a more viable option despite the non-invasive appeal of Bankart Repair.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".