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The RTS rate, the level of return and the timing of return were assessed. Additionally, factors such as preoperative basic information, clinical outcomes, graft position, graft healing and graft absorption were analysed to investigate their correlation with the level of RTS. Multivariate regression models were used to evaluate the factors affecting the level of RTS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, this study included 182 shoulders of 177 athletes undergoing the modified arthroscopic Bristow procedure. Of these patients, 142 (78.0%) shoulders of 137 athletes were enrolled, with a mean of 3.3\u2010year follow\u2010up. At the final follow\u2010up, 134 (94.4%) shoulders were able to RTS, 123 (86.6%) shoulders were able to RTS to the pre\u2010injury level, 52 (36.6%) shoulders could be completely \u201cforgotten\u201d without any psychological barrier during exercise. The multivariate logistic regression analysis identified the variable associated with RTS at the pre\u2010injury level as previously failed arthroscopic Bankart repair (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). As for the \u201cforgetting\u201d operated shoulder, the duration from first dislocation to surgery was a significant independent predictor (<jats:italic>p<\/jats:italic>\u2009=\u20090.034).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although a large majority of athletes were able to RTS at the pre\u2010injury level after the modified arthroscopic Bristow procedure, about two\u2010thirds of the athletes felt difference in shoulders on both sides and could not completely \u201cforget\u201d the operated shoulder during exercise. Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of RTS after the modified arthroscopic Bristow procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07453-5","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T02:02:03Z","timestamp":1684720923000},"page":"4052-4059","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Previously failed Bankart repair and the duration from first dislocation to surgery were the risk factors associated with the level of return to sports after coracoid transfer"],"prefix":"10.1002","volume":"31","author":[{"given":"Qingfa","family":"Song","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine, Peking University Third Hospital Institute of Sports Medicine of Peking University 49 North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuhan","family":"Zhang","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine, Peking University Third Hospital Institute of Sports Medicine of Peking University 49 North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jucheng","family":"Bai","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine, Peking University Third Hospital Institute of Sports Medicine of Peking University 49 North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of 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