Editorial Commentary: Middle-Age Does Not Confer Immunity From Recurrent Instability After Arthroscopic Bankart Repair.

Abstract

Recurrent anterior shoulder instability remains a challenge to treat with arthroscopy, as the rate of postoperative instability remains high in certain patient populations. Indications for performing an "anatomic" arthroscopic reconstruction (isolated Bankart repair) are narrowing as surgeons identify risk factors for failure with this approach. In particular, the presence of certain bone loss patterns that occur with high numbers of instability events should prompt consideration for nonanatomic reconstruction, such as Latarjet or Hill-Sachs remplissage, to reduce the rate of postoperative recurrent instability.