{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:40:19Z","timestamp":1787056819774,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Glenohumeral instability with combined bone lesion in contact and overhead athletes with subcritical bone loss is challenging to treat with high recurrent instability. Treatment options are arthroscopic Bankart repair with remplissage and Latarjet operations. However, there is no consensus on their effectiveness. This study aims to compare the clinical outcomes and return to sports after both operations and\u00a0whether evaluating the glenoid bone loss and Hill\u2010Sachs width to calculate the total bone loss can help determine the appropriate operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective comparative analysis, 30 athletes who underwent index arthroscopic Bankart repair with remplissage (<jats:italic>n<\/jats:italic>\u2009=\u200916) or Latarjet procedure (<jats:italic>n<\/jats:italic>\u2009=\u200914) between 2017 and 2020 were included. Computed tomography (CT) and magnetic resonance imaging (MRI) were routinely performed. The quick Disabilities of the Arm, Shoulder\u00a0and Hand (qDASH), American Shoulder and Elbow Surgeons (ASES), instability severity index (ISI) scores\u00a0and range of motion (ROM) were recorded preoperatively and at a mean follow\u2010up of 53 months (SD\u2009=\u200912). Follow\u2010up included time\u2010to\u2010return sports, self\u2010perceived sports performance level\u00a0and complications\/recurrent dislocations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Preoperative qDASH, ASES, ISI scores, ages\u00a0and genders were similar. The Latarjet group had significantly larger glenoid bone loss, Hill\u2010Sachs width and total bone loss (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Both groups had significant improvement in patient\u2010reported outcomes (PROs) after the operations (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Athletes with a total bone loss &lt;25% underwent arthroscopic Bankart repair with remplissage and total bone loss \u226525% underwent Latarjet procedure, and\u00a0there were no differences between the groups in terms of postoperative PROs, ROM, time\u2010to\u2010return sports\u00a0and performance. There were no re\u2010dislocations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic Bankart repair with remplissage or Latarjet procedure can adequately address glenohumeral instability with combined bone lesions. Patients with total bone loss scores greater than or equal to 25 may particularly benefit from the Latarjet procedure, while the minimally invasive arthroscopic Bankart repair with remplissage can yield equally satisfying scores for total bone loss less than 25.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12333","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T03:06:13Z","timestamp":1719457573000},"page":"371-380","source":"Crossref","is-referenced-by-count":7,"title":["Glenoid bone loss and Hill\u2010Sachs width percentage score are useful to select optimal operation for the treatment of glenohumeral instability in overhead athletes: Arthroscopic Bankart repair with remplissage versus open Latarjet"],"prefix":"10.1002","volume":"33","author":[{"given":"Arel","family":"Gereli","sequence":"first","affiliation":[{"name":"Department of Orthopedics and 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