Rehabilitation Protocol Variability Following Arthroscopic Bankart Repair and Remplissage for Management of Anterior Shoulder Instability: A Systematic Review

Autor: Juan B. Villarreal-Espinosa, Michael M. Reinold, Mohammad Khak, Mohammad J. Shariyate, Carol Mita, Jeffrey Kay, Arun J. Ramappa
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Sports Physical Therapy, Vol 19, Iss 10 (2024)
Druh dokumentu: article
ISSN: 2159-2896
DOI: 10.26603/001c.123481
Popis: # Background Augmentation of an arthroscopic Bankart repair with the remplissage (ABR) procedure has shown to confer a decrease in recurrence rates, yet, at the expense of potentially compromising shoulder motion. # Purpose/Hypothesis The purpose was to examine clinical studies that described a post-operative rehabilitation protocol after an arthroscopic Bankart repair and remplissage procedure. It was hypothesized that a review of the literature would find variability among the studies and that, among comparative studies, there would be a limited distinction from protocols for isolated Bankart repairs. # Study design Systematic Review # Materials and Methods A search was conducted using three databases (PubMed, EMBASE, and CINAHL) according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The following terms were combined while utilizing Boolean operators: (Bankart lesion OR labral tear) AND (remplissage). Studies evaluating patients after arthroscopic stabilization for unidirectional anterior glenohumeral instability with the addition of the remplissage procedure and at least 1 year follow-up were included for analysis. # Results A total of 41 studies (14 Level IV, 24 Level III, 2 Level II, and 1 Level I) were included with a total of 1,307 patients who underwent ABR. All patients had \
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