Arthroscopic staple capsulorrhaphy: A long-term follow-up

Anterior instability of the shoulder after trauma

“…Following open repair, pain, loss of movement, infection, failure of the implant, neurovascular injury and late degenerative joint disease are the more commonly encountered complications. 68,96 After arthroscopic stabilisation, neurovascular injury, [97][98][99] adhesive capsulitis 100 and synovial fistula 101 have all been encountered. Other complications are specific to the particular technique used to repair the Bankart lesion and include loosening, breakage and impingement after the use of staples; 102,103 injury to the suprascapular nerve and pain from the posterior knot after transglenoid repair; 101,104 foreign-body reaction, rapid decay leading to intra-articular dissociation of the head after repair with bioabsorbable tacks; 105,106 and pull-out after repair with suture anchors.…”

Avaliação funcional do reparo artroscópico da instabilidade anterior recidivante do ombro

“…Arthroscopic capsulorrhaphy with staples presented a high rate of complications and lack of success (17)(18)(19) . Transglenoid arthroscopic suture presented variable results (20)(21)(22)(23)(24)(25) .…”

The Historical Review and Trends in the Development of Surgical Treatment of Reccurent Shoulder Instability

“…â 1993 ã. [29] ðåòðîñïåêòèâíî èñ-ñëåäîâàëè èñõîäû ëå÷åíèÿ 54 ïàöèåíòîâ, êîòîðûì áû-ëà âûïîëíåíà àòðîñêîïè÷åñêàÿ êàïñóëîðàôèÿ.  õîäå èõ èññëåäîâàíèÿ áûëî âûÿâëåíî 33% ðåöèäèâîâ, 18,5% ïàöèåíòîâ áûëè ïîäâåðãíóòû ïîâòîðíûì ðåêîíñòðóê-òèâíûì îïåðàöèÿì.…”

“…Ïåðâûå ìåòîäèêè àðòðîñêîïè÷åñêîãî ëå÷åíèÿ èìåëè äîñòàòî÷íî âûñîêèé ïðîöåíò ðåöèäèâîâ, ïîýòîìó èì áûëî òðóäíî êîíêóðèðîâàòü ñ õîðîøî îòðàáîòàííûìè òåõíèêàìè îòêðûòûõ ìåòîäîâ îïåðàòèâíîãî ëå÷åíèÿ. Òàê, ôèêñàöèè ñóñòàâíîé ãóáû è êàïñóëîðàôèÿ ñ ïî-ìîùüþ ñêîá â ñðåäíåì äàâàëè ðåöèäèâû îò 16 äî 33% [28,29], ïðè ïðèìåíåíèè òåõíîëîãèé òðàíñãëåíîèäíîãî øâà äîëÿ ðåöèäèâîâ ñîñòàâëÿëà îò 0 äî 49%, ïðè ôèê-ñàöèè ýëåìåíòîâ ñóñòàâíîé êàïñóëû ñ ïîìîùüþ ðàññà-ñûâàþùèõñÿ çàêëåïîê íåóäîâëåòâîðèòåëüíûå ðåçóëü-òàòû îïðåäåëÿëèñü â ñðåäíåì îò 9 äî 23% [20,44]. Ïðèìåíÿåìàÿ â íàñòîÿùåå âðåìÿ òåõíèêà àðòðîñêîïè-÷åñêîé ñòàáèëèçàöèè ñ èñïîëüçîâàíèåì øîâíûõ ÿêîðåé äàåò çíà÷èòåëüíî ëó÷øèå ðåçóëüòàòû.…”