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Which shoulder surgery works better for stability?

Monday, June 8, 2026

Shoulder instability often leads doctors to surgery when conservative treatments fail. Two leading procedures—Bankart repair with remplissage (BR) and the Latarjet method—aim to stabilize the joint, but which one proves more reliable?

The Battle of the Shoulder Surgeries

A deep dive into multiple studies reveals a split verdict:

  • Bankart repair with remplissage (BR) tends to have fewer post-surgery complications, making it a safer short-term choice.
  • Latarjet method delivers superior long-term stability in certain cases, though with a higher risk of complications.

This inconsistency leaves surgeons and patients in a tough spot—which repair will last?

The Missing Piece: Patient Activity Levels

Most studies gloss over a critical factor: pre-surgery activity. A high-performance athlete heals differently than an office worker. Without accounting for this, treatment recommendations may miss the mark.

The Short-Term Trap

Many studies only track patients for a few years, leaving long-term outcomes in the dark. True durability—decades after surgery—remains an unanswered question.

The debate rages on: Will BR’s safety or Latarjet’s stability win the day?

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