Arthroscopic Bankart Repair (ABR) with Arthroscopic Subscapularis Augmentation (ASA) in the Treatment of Chronic Anterior Shoulder Instability in Bangladesh

Background: Anterior shoulder instability is very common in Bangladesh. Arthroscopic Bankart repair (ABR) is used to treat this condition, but its recurrence rate is very high. To solve this problem, the aim of this study is to determine the effectiveness of arthroscopic Bankart repair (ABR) with arthroscopic subscapularis augmentation (ASA) for treating anterior shoulder instability patients in Bangladesh. Methods: A cross-sectional study was performed among 36 patients who underwent arthroscopic Bankart repair (ABR) with arthroscopic subscapularis augmentation (ASA) procedures for treatment of anterior shoulder instability from 2022 to 2023 at Bangladesh Specialized Hospital (BSH). Participants were purposively selected and data was collected in a semi-structured data collection sheet. Informed consent was taken from each participant before starting the interview on a consent form. Both descriptive and inferential statistics were performed according to the objective and nature of the data. Results: According to the study, the mean age of the 36 patients was 25.44 ± 9.700 years, and the majority of them (91.7%) were male. The procedure's outcome greatly improved (88.9%), and most of the patients (88.9%) expressed satisfaction. The mean Rowe score was 62.08 in pre-operative assessment which improved to 81.53 in post-operative assessment and there was significant association (p=0.007). Conclusion: The combination of arthroscopic subscapularis augmentation (ASA) and arthroscopic Bankart repair (ABR) has been shown to be safe and effective, as evidenced by the improved outcomes and high percentage of satisfied patients with few complications. Our recommendation for treating anterior shoulder instability is to use ASA in combination with ABR.