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Return to Play After Open Bankart Repair: A Systematic Review
BACKGROUND: Results of open Bankart repair have been well reported. However, less information is available outlining the timetable for return to play (RTP) in athletes after this procedure. PURPOSE: To review the current literature regarding (1) the timetable recommended for athletes to RTP after an...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555624/ https://www.ncbi.nlm.nih.gov/pubmed/26535302 http://dx.doi.org/10.1177/2325967114522960 |
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author | Stone, Geoffrey P. Pearsall, Albert W. |
author_facet | Stone, Geoffrey P. Pearsall, Albert W. |
author_sort | Stone, Geoffrey P. |
collection | PubMed |
description | BACKGROUND: Results of open Bankart repair have been well reported. However, less information is available outlining the timetable for return to play (RTP) in athletes after this procedure. PURPOSE: To review the current literature regarding (1) the timetable recommended for athletes to RTP after an open Bankart repair and (2) the objective criteria on which the decision to allow an athlete to RTP is based. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: A comprehensive literature search was conducted of all relevant English-language articles using the electronic databases OVID and PubMed between the years 1947 and 2012 to identify open Bankart repair. Two reviewers screened articles for eligibility based on the following criteria: (1) an open Bankart repair, (2) a minimum follow-up of at least 8 months, (3) any report that described the procedure in athletes, and (4) any report that described the time for an athlete to RTP. All relevant data were collected and analyzed with regard to number of patients; mean follow-up; Rowe, Constant, and American Shoulder and Elbow (ASES) scores; redislocation rate; and return-to-sport timing. RESULTS: In all, 559 relevant citations were identified, of which 29 articles met the inclusion criteria. The mean follow-up was 51.7 months (range, 8-162 months), and the mean age was 25.9 years (range, 21-31 years). The average Rowe score for all studies was 86.9 (range, 63-90). The average redislocation rate was 5.3%. Twenty-six of 29 studies cited a specific timetable for unrestricted RTP, with an average of 23.2 weeks (range, 12-36 weeks). Only 38% of authors reported sport-specific criteria for return to competition, with the majority allowing return to noncontact sports at 12 to 16 weeks, and the resumption of throwing/contact sports by 24 weeks. Three reports described specific functional parameters for RTP. CONCLUSION: The current review summarized return-to-play guidelines for athletic competition after open Bankart repair. These data may provide general guidelines to aid surgeons when determining the appropriate timetable to allow an athlete to return to unrestricted competition. |
format | Online Article Text |
id | pubmed-4555624 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-45556242015-11-03 Return to Play After Open Bankart Repair: A Systematic Review Stone, Geoffrey P. Pearsall, Albert W. Orthop J Sports Med 8 BACKGROUND: Results of open Bankart repair have been well reported. However, less information is available outlining the timetable for return to play (RTP) in athletes after this procedure. PURPOSE: To review the current literature regarding (1) the timetable recommended for athletes to RTP after an open Bankart repair and (2) the objective criteria on which the decision to allow an athlete to RTP is based. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: A comprehensive literature search was conducted of all relevant English-language articles using the electronic databases OVID and PubMed between the years 1947 and 2012 to identify open Bankart repair. Two reviewers screened articles for eligibility based on the following criteria: (1) an open Bankart repair, (2) a minimum follow-up of at least 8 months, (3) any report that described the procedure in athletes, and (4) any report that described the time for an athlete to RTP. All relevant data were collected and analyzed with regard to number of patients; mean follow-up; Rowe, Constant, and American Shoulder and Elbow (ASES) scores; redislocation rate; and return-to-sport timing. RESULTS: In all, 559 relevant citations were identified, of which 29 articles met the inclusion criteria. The mean follow-up was 51.7 months (range, 8-162 months), and the mean age was 25.9 years (range, 21-31 years). The average Rowe score for all studies was 86.9 (range, 63-90). The average redislocation rate was 5.3%. Twenty-six of 29 studies cited a specific timetable for unrestricted RTP, with an average of 23.2 weeks (range, 12-36 weeks). Only 38% of authors reported sport-specific criteria for return to competition, with the majority allowing return to noncontact sports at 12 to 16 weeks, and the resumption of throwing/contact sports by 24 weeks. Three reports described specific functional parameters for RTP. CONCLUSION: The current review summarized return-to-play guidelines for athletic competition after open Bankart repair. These data may provide general guidelines to aid surgeons when determining the appropriate timetable to allow an athlete to return to unrestricted competition. SAGE Publications 2014-02-26 /pmc/articles/PMC4555624/ /pubmed/26535302 http://dx.doi.org/10.1177/2325967114522960 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm). |
spellingShingle | 8 Stone, Geoffrey P. Pearsall, Albert W. Return to Play After Open Bankart Repair: A Systematic Review |
title | Return to Play After Open Bankart Repair: A Systematic Review |
title_full | Return to Play After Open Bankart Repair: A Systematic Review |
title_fullStr | Return to Play After Open Bankart Repair: A Systematic Review |
title_full_unstemmed | Return to Play After Open Bankart Repair: A Systematic Review |
title_short | Return to Play After Open Bankart Repair: A Systematic Review |
title_sort | return to play after open bankart repair: a systematic review |
topic | 8 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555624/ https://www.ncbi.nlm.nih.gov/pubmed/26535302 http://dx.doi.org/10.1177/2325967114522960 |
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