Objective: To compare the effect of angled and straight anchor guides on clinical outcomes in patients undergoing arthroscopic Bankart repair.

Material and Method: A total of 43 patients who underwent arthroscopic Bankart repair with at least one year of follow-up were included in the study between January 2013 and January 2020. In 23 patients, an angled anchor guide was used, while in 20 patients, a straight anchor guide was used. Preoperative and postoperative data were retrospectively compared using the Rowe and Constant shoulder scoring systems.

Results: No statistically significant difference was observed between the angled and straight guide groups in postoperative Constant scores (95.4 ± 4.3 vs. 93.1 ± 6.4; p = 0.188) or postoperative Rowe scores (96.4 ± 4.7 vs. 95.3 ± 7.0; p = 0.551). When all patients were evaluated together, postoperative Rowe and Constant scores increased significantly compared with preoperative values (p < 0.001).

Conclusion: The impact of the two guides employed in arthroscopic Bankart repair on functional outcomes was comparable. The angled guide offered two key advantages. Firstly, it permitted the deployment of an anchor in a more anteroinferior direction relative to the glenoid anteroinferior, with a superior angle of approach. Secondly, it reduced the risk of articular cartilage damage.