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Comparison of Bankart repair with remplissage and Latarjet procedure for anterior shoulder instability: a systematic review and meta-analysis.
This systematic review and meta-analysis pooled 12 studies with 1,186 patients to compare two surgeries used for forward (anterior) shoulder instability w…
Signal score64Research triage score
CertaintyModerateVerify in full text
PMID42251610Source identifier
Research triage, not medical advice
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Plain-English signal
This systematic review and meta-analysis pooled 12 studies with 1,186 patients to compare two surgeries used for forward (anterior) shoulder instability when there is modest bone loss: Bankart repair with remplissage (BR) and the Latarjet procedure. The authors report that both operations produced similar shoulder function, pain scores, range of motion, return-to-sport rates, recurrence, and revision rates overall. BR had a significantly lower rate of complications than Latarjet. Subgroup analyses suggested BR may give better short-term pain and functional scores, while Latarjet may show better results over longer follow-up. The analysis is Level III evidence; full-text review is needed to confirm details and applicability.
Why it matters
- Addresses choice of surgical procedure (Bankart repair with remplissage versus Latarjet) for anterior shoulder instability with subcritical glenoid bone loss - a common clinical decision in orthopedic sports medicine.
- Finds a lower complication rate with Bankart repair plus remplissage (BR) while reporting similar functional outcomes and recurrence rates, which could influence procedure selection, informed consent discussions, and surgical planning.
- Reports potential time-dependent differences (short-term favoring BR; longer-term favoring Latarjet) for pain (VAS) and functional (Rowe) scores, relevant for counseling patients about expected recovery trajectory and durability.
Primary outcomes
- Postoperative Rowe score
- Visual analog scale (VAS) score
- Single Assessment Numeric Evaluation (SANE) score
- Range of motion (ROM)
- Return-to-sport (RTS) rate
Effect summary
According to the abstract, Bankart repair with remplissage (BR) and the Latarjet procedure produced comparable functional outcomes, ROM, recurrence, revision, and return-to-sport metrics; BR was associated with a significantly lower complication rate. Subgroup analysis suggested BR may have better short-term VAS and Rowe scores while Latarjet may show better longer-term results.
Benefit-cost lens
| Quick take | Meta-analysis suggests similar clinical outcomes between BR and Latarjet but fewer complications with BR; economic or policy decisions require absolute event rates, cost inputs, and population denominators. |
|---|---|
| BCR anchor | 2 |
| Time horizon | 3 |
| Discount rate | 0.03 |
| Assumptions | Assessment based solely on PubMed metadata and abstract; full text may change effect estimates, subgroup findings, and risk-of-bias appraisal. |
Benefit-cost fields are assumptions-based unless explicitly source-derived. Treat them as prompts for deeper economic review.
Risk of bias
| Tool | MINORS reported in abstract; rapid-abstract-screen synthesis |
|---|---|
| Verdict | Some concerns |
| Notes | The review used MINORS to characterize included nonrandomized studies, but the abstract does not give study-level risk-of-bias details, heterogeneity (I2), or sensitivity analyses. As a Level III meta-analysis of largely nonrandomized data, confounding, selection bias, and variability in definitions of outcomes/complications are possible. Full-text assessment required for formal bias appraisal. |
Harms, equity, conflicts & implementation
| Implementation | Full-text review; assessment of absolute complication and recurrence rates; cost and resource analysis (operative time, implants, postoperative care); surgeon skill and training considerations; local patient population matching the included studies (subcritical glenoid bone loss). |
|---|---|
| Equity impact | Unclear from abstract; equity implications depend on access to surgical expertise (Latarjet is technically demanding), resource availability, and differential complication burden in subpopulations - full text and subgroup data needed. |
| Harms | Abstract reports a higher complication rate with Latarjet but does not detail types or severities of complications; full-text data are required to characterize harms and trade-offs. |
| Funding | 2023YFC3603400 National Key R&D Program of China; 82272611 National Natural Science Foundation of China; 82472522 National Natural Science Foundation of China; 92268115 National Natural Science Foundation of China |
| Registration | CRD42024582343 |
| Replication | Unknown from abstract-level triage; replication would require review of included studies and updating with any new trials. |
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