Year: 2026 | Month: March | Volume: 13 | Issue: 3 | Pages: 387-399
DOI: https://doi.org/10.52403/ijrr.20260344
Functional Outcomes of Arthroscopic Bankart Repair with Remplissage Versus Latarjet Procedure in Recurrent Anterior Shoulder Instability: A Systematic Review
Anak Agung Ngurah Arya Yugadhyaksaa, Komang Mahendra Laksanab, Anak Agung Yukta Panditamac
aGeneral Practitioner, Faculty of Medicine, Warmadewa University, Bali, Indonesia
bSport Consultant, Department of Orthopaedic and Traumatology, Wangaya General Hospital, Bali, Indonesia
cGeneral Practitioner, Faculty of Medicine, Warmadewa University, Bali, Indonesia
Corresponding Author: Anak Agung Ngurah Arya Yugadhyaksa
ABSTRACT
Background: Recurrent anterior shoulder instability remains a challenging condition, particularly in the presence of engaging Hill–Sachs lesions and glenoid bone loss. Arthroscopic Bankart repair with remplissage and the Latarjet procedure are widely employed surgical solutions, but direct comparisons of their functional outcomes and complication profiles remain limited.
Objective: To systematically review the available evidence comparing functional outcomes, recurrence rates, and complications between arthroscopic Bankart repair with remplissage and the Latarjet procedure in patients with recurrent anterior shoulder instability.
Methods: A systematic literature search was conducted in PubMed, Cochrane Library, and ScienceDirect. Eligible studies included comparative clinical investigations of remplissage versus Latarjet reporting patient-reported outcome measures, return to sport, range of motion, recurrence, and complications. Eight studies met inclusion criteria. Data were synthesized qualitatively in accordance with PRISMA 2020 guidelines.
Results: Both remplissage and Latarjet procedures yielded substantial postoperative improvements in validated functional scores, high patient satisfaction, and return-to-sport rates often exceeding 70%. Recurrence rates were comparably low, generally below 10%, with few revision procedures required. Distinct functional and safety profiles were observed: remplissage was associated with modest external rotation deficits, whereas Latarjet preserved or improved motion but carried a higher complication burden, including graft nonunion, hardware-related issues, and neurovascular risks.
Conclusion: Arthroscopic Bankart repair with remplissage and the Latarjet procedure both provide durable stabilization with significant functional gains. Surgical selection should be tailored to patient profile and bone loss severity: remplissage for engaging Hill–Sachs lesions with subcritical glenoid loss, and Latarjet for critical bone defects, collision athletes, or revision cases. Further high-quality trials are needed to confirm long-term outcomes and refine patient-specific indications.
Keywords: Anterior shoulder instability; Bankart repair; Remplissage; Latarjet procedure; Functional outcomes
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