There may also be couple of articles, which speak about low recurrence after bankart repair as well. Conferences usually are not the best places where people will frankly admit their failures. But secretly many people have admitted that failures after bankart repair have gone up as the length of follow up has increased. Since, most surgeons in India and many surgeons in western countries also do not keep a regular record, or have long follow ups, it’s hardly believable what any such surgeon would say without hard data. Historically most surgeons will do bankart repair and would stand by it, but will not be able to prove anything because they do not have long follow ups. Failures of bankart start appearing only after 1-2 years so long follow-ups are definitely needed to prove any theory. Proponents of bankart repair ask that since most patients in India are low demand non-athletes, why should we do an extensive procedure like Latarjet? One of the favorite lines of surgeons in US is “Why should you take a bomb where a small gun can work?” However what they would agree is that Latarjet would give better results under all circumstances. In Mumbai since an average person places high stresses on his shoulder on account of his local train, bus travel etc, he can hardly be called low demand.
If “consumer is king” and “patient’s good is the only good to be considered”, Latarjet is the by far the better procedure. The French definitely score ahead here (photo: Dr.Laurent Lafosse, me and other Orthopods in France).