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All patients had a minimum follow\u2010up of 3\u2009years. Clinical and radiological data were extracted and analyzed. Cox regression models identified independent predictors of recurrence, and receiver operating characteristic curves evaluated the predictive performance of individual and combined indicators. Patient\u2010reported outcomes, including the American Shoulder and Elbow Surgeons score, Rowe score, and Single Assessment Numerical Evaluation score, were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 264 patients (241 males) with a mean age of 25.6\u2009\u00b1\u20097.1\u2009years and a mean follow\u2010up 93.7\u2009\u00b1\u200936.7\u2009months were included. Recurrent instability occurred in 38 patients (14.4%). Multivariate Cox regression analysis identified the Instability Severity Index Score and the Hill\u2010Sachs interval\u2010to\u2010glenoid track ratio as independent predictors of recurrence. The integration of these 2 indicators into a binary logistic regression model yielded a composite score that significantly improved predictive performance (area under the curve\u2009=\u20090.81 vs Instability Severity Index Score\u2009=\u20090.76, Hill\u2010Sachs interval\u2010to\u2010glenoid\u2009=\u20090.77; all\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.05). At the final follow\u2010up, all patients achieved the minimal clinically significant difference, and patients without recurrence exhibited superior patient\u2010reported outcomes (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05) compared to those with recurrent instability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Instability Severity Index Score and the Hill\u2010Sachs interval\u2010to\u2010glenoid track ratio composite score showed good predictive performance for recurrence after ABR. It stratified patients into distinct treatment categories: (1) ABR for low\u2010risk patients (score\u2009&lt;\u20093.4), (2) alternative stabilization procedures for high\u2010risk patients (score\u2009&gt;\u20095.5), and (3) individualized clinical evaluation and shared decision\u2010making for intermediate\u2010risk patients (score 3.4\u20105.5). Additionally, shoulder function in patients undergoing revision surgery due to recurrence was worse than in those without recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective prognostic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70009","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:01:22Z","timestamp":1771545682000},"page":"45-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Combining Instability Severity Index Score and Hill\u2010Sachs Interval\u2010to\u2010Glenoid Track Ratio Predicts Recurrent Instability After Arthroscopic Bankart Repair in Patients With &lt;20% Glenoid Bone Loss"],"prefix":"10.1002","volume":"42","author":[{"given":"Guangqian","family":"Shang","sequence":"first","affiliation":[{"name":"School of Medicine, Nankai University  Tianjin China"},{"name":"Senior Department of Orthopedics Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhidong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Senior Department of Orthopedics Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Guo","sequence":"additional","affiliation":[{"name":"Senior Department of Orthopedics Chinese PLA General Hospital  Beijing China"},{"name":"Chinese PLA Medical School  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Guan","sequence":"additional","affiliation":[{"name":"Senior Department of Orthopedics Chinese PLA General Hospital  Beijing China"},{"name":"Chinese PLA Medical School  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