2023 Annual Meeting Knee Access Pass-OASIS Trial: Revision Labral Repair for Recurrent Shoulder Instability: Does It Still Exist?

OASIS Trial: Revision Labral Repair for Recurrent Shoulder Instability: Does It Still Exist?

Video Transcription

Video Summary

Dr. John Dickens discusses challenges in managing recurrent shoulder instability, focusing on revision arthroscopic Bankart repair, which shows high failure rates (44%) especially in young, active patients. Factors like subcritical glenoid and humeral bone loss contribute to instability but are not fully understood. Many failures occur early post-surgery, and revision repair often fails to restore ligament integrity. The Department of Defense is funding the OASIS trial, a prospective study comparing open Bankart, arthroscopic Bankart with remplissage, and Latarjet surgeries in patients with subcritical bone loss, aiming to optimize treatment and improve return-to-duty outcomes.

Asset Caption

Jonathan F. Dickens, M.D., L.T.C., M.C.

Keywords

recurrent shoulder instability

revision arthroscopic Bankart repair

subcritical bone loss

OASIS trial

return-to-duty outcomes