Arthroscopic Bankart Repair Using the Labral Bridge Technique Reveals Excellent Outcomes at a Minimum Follow-up of 2 Years: A Retrospective Case Series.

Background: Despite technical advancements, recurrent glenohumeral joint instability after surgical treatment is still a major issue. Challenging conventional arthroscopic Bankart repair, the labral bridge technique provides an even labral compression to the glenoid rim, potentially enabling anatomic healing and lasting stability. Purpose: To evaluate clinical outcomes after arthroscopic Bankart repair using the labral bridge technique at a short-term follow-up. Study Design: Case series; Level of evidence, 4. Methods: Patients aged 18 to 50 years with traumatic first-time or recurrent shoulder dislocation treated with the arthroscopic labral bridge technique and an early motion rehabilitation protocol were consecutively included. Exclusion criteria were concomitant fractures, bony defects >10%, multidirectional shoulder instability, previous shoulder surgery, epilepsy, or chronic alcohol or drug abuse. Postoperative shoulder stability was assessed using the Rowe score. Patient-reported outcome measures, including the American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE), and Visual Analog Scale (VAS) for pain were evaluated preoperatively and after a minimum of 2 years. Results: A total of 46 patients (mean age, 28.9 ± 9.0 years) were included. At the final follow-up (mean, 35.8 ± 10.3 months), 2 patients (4.3%) experienced a recurrent traumatic anterior dislocation. The Rowe score improved significantly with lasting stability compared to preoperative levels (mean, 93.0 ± 16.7 postoperatively vs 37.8 ± 15.2 preoperatively; Conclusion: Arthroscopic Bankart repair with the labral bridge technique for the treatment of anterior shoulder instability demonstrates a low recurrent shoulder instability rate and significant improvements in clinical and functional outcomes at a minimum follow-up of 2 years.