Patient-reported outcomes decline over time following arthroscopic Bankart repair for anterior shoulder instability

Purpose To evaluate how patient-reported outcomes (PROs) trend over time following arthroscopic Bankart repair (ABR) for anterior shoulder instability with on-track Hill-Sachs lesions (HSL). Methods A retrospective review was performed of patients undergoing ABR with or without remplissage between 2007–2023. Exclusion criteria included age 20%, off-track HSLs, and prior shoulder surgery. PROs and clinical outcomes—including Western Ontario Shoulder Index (WOSI), pain Visual Analog Scale (pVAS), Subjective Shoulder Value (SSV), and recurrent instability — were collected at final follow-up. Spearman Rank correlation assessed relationships between PROs and time from surgery. Rates of achieving Patient Acceptable Symptom State (PASS) for WOSI and pVAS were compared across follow-up intervals (