Comparison of outcomes of two different surgeries in regarding to complications for chronic anterior shoulder instability

Mahiroğulları, Mahir; Kuskucu, Mesih; Solakoğlu, Can; Akmaz, İbrahim; Pehlivan, Özcan; Kiral, Ahmet; Kaplan, Haluk

doi:10.1007/s00402-006-0190-x

Cited by 19 publications

(8 citation statements)

References 26 publications

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“…1,3,8,15-17,23,26,29,32-34,36,41,43,45,46,48,54,57,62,64,66-70,74-79,82,84 c Open bone. 6,8,14,20,31,35,37,44,51-53,79,80,84 d Arthroscopic bone. 20,21,35,38,51,83 e Arthroscopic soft tissue and remplissage.…”

Section: Resultsmentioning

confidence: 99%

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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Background: The surgical treatment of recurrent shoulder instability has evolved in recent years to include a variety of soft tissue and bone block procedures, undertaken with either an open or arthroscopic approach. Although the utilization of such techniques has rapidly expanded, the associated risk of complications remains poorly defined. This information is vital for clinical decision making and patient counseling. Purpose: To quantify the complication rate associated with all types of surgery for anterior glenohumeral joint dislocation. Study Design: Systematic review. Methods: A systematic search was undertaken of studies reporting complications from anterior shoulder stabilization surgery. Inclusion criteria were studies published in English between 2000 and 2017 with a minimum 2-year follow-up. Methodological quality of the included studies was assessed with the Methodological Index for Non-Randomized Studies criteria. Complication rates for all undesirable events contributing to the patient outcome were extracted and cumulative rates calculated. Results: Out of 1942 references, 56 studies were included, totaling 4362 procedures among 4336 patients. Arthroscopic soft tissue repair had a complication rate of 1.6% (n = 2805). When repair was combined with arthroscopic remplissage, the rate was 0.5% (n = 219). Open soft tissue repair had a complication rate of 6.2% (n = 219) and open labral repair with remplissage, a rate of 2.3% (n = 79). An open bone block procedure had a complication rate of 7.2% (n = 573) and an arthroscopic bone block procedure, a rate of 13.6% (n = 163). Conclusion: This large systematic review demonstrates the overall complication rates (not purely recurrence rates) in modern shoulder stabilization surgery. With the growing interest in bone block stabilization procedures, including those performed arthroscopically, surgeons should be aware of the 10-fold increase in complications for these procedures over soft tissue arthroscopic surgery and counsel their patients accordingly.

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Section: Resultsmentioning

confidence: 99%

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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“…Inclusion criteria included suffering from recurrent dislocation of shoulder due to trauma, age over 18 and less that 45, dislocation not healing following nonsurgical treatments, having limitations in daily life and physical activity, permanent disability with a phobia of dislocation, Bankart lesion in magnetic resonance imaging (MRI),[ 16 ] and patient's willingness for participating in this study.…”

Section: Methodsmentioning

confidence: 99%

“…[ 15 ] Several methods have been used to stabilize the shoulder joint. [ 16 17 18 19 ] Two of these techniques are Bankart arthroscopic repair and Bristow open procedure. Nowadays the most popular treatment of shoulder instability with Bankart lesion is the Bankart method of surgery (repair and reconstruction of labrum capsule)[ 20 21 22 23 ] in which the pathologic lesion is repaired anatomically.…”

Section: Introductionmentioning

confidence: 99%

“…Nowadays the most popular treatment of shoulder instability with Bankart lesion is the Bankart method of surgery (repair and reconstruction of labrum capsule)[ 20 21 22 23 ] in which the pathologic lesion is repaired anatomically. [ 16 ] On the other hand, the Bristow surgery (coracoid transfer to the edge of glenoid) of all types of shoulder instability is associated with favorable outcomes. [ 24 ] In this technique, two mechanisms are used to make the shoulder stable; one is the role of coracoid as the blocker of the bone and the other one is the dynamic buttress of anterior and inferior site of capsule by short head of biceps muscle and brachioradialis muscle.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies conducted in different regions of the world disclosed no significant difference between these two methods,[ 13 16 ] and random studies showed no preference for each of these techniques. [ 25 ] As these two surgical procedures are performed in our country's medical centers and such a study has not been done on the Iranian population,[ 24 26 ] it seemed necessary to conduct a study to evaluate the outcome of these techniques and make a better decision.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Bristow procedure and Bankart arthroscopic method as the treatment of recurrent shoulder instability

et al. 2014

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Background:Anterior shoulder dislocation is the most common major joint dislocation. In patients with recurrent shoulder dislocation, surgical intervention is necessary. In this study, two methods of treatment, Bankart arthroscopic method and open Bristow procedure, were compared.Materials and Methods:This clinical trial survey had been done in the orthopedic department of Alzahra and Kashani hospitals of Isfahan during 2008-2011. Patients with recurrent anterior shoulder dislocation who were candidates for surgical treatment were randomly divided into two groups, one treated by Bankart arthroscopic technique and the other treated by Bristow method. All the patients were assessed after the surgery using the criteria of ROWE, CONSTANT, UCLA, and ASES. Data were analyzed by SPSS software.Results:Six patients (16.22%) had inappropriate condition with ROWE score (score less than 75); of them, one had been treated with Bristow and five with Bankart (5.26 vs. 27.78). Nine patients (24.32%) had appropriate condition, which included six from Bristow group and three treated by Bankart technique (31.58 vs. 16.67). Finally, 22 patients (59.46%) showed great improvement with this score, which included 12 from Bristow and 10 from Bankart groups (63.16 vs. 55.56). According to Fisher's exact test, there were no significant differences between the two groups (P = 0.15).Conclusion:The two mentioned techniques did not differ significantly, although some parameters such as level of performance, pain intensity, use of analgesics, and range of internal rotation showed more improvement in Bristow procedure. Therefore, if there is no contraindication for Bristow procedure, it is preferred to use this method.

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Komplikationsmanagement nach fehlgeschlagener operativer Schulterstabilisierung

Stehle

Gohlke

2009

Orthopäde

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Operative repair of shoulder instability may fail because of multiple causes: a constitutional predisposition, a new trauma, incorrect diagnosis, inadequate operative techniques or inappropriate rehabilitation can be involved. The key to successful revision surgery is a thorough analysis of errors of the primary repair and the revision also has to deal with the decisive pathological factors. The management of revision surgery after failed surgery for patients with instability has to focus on the decisive pathological factors and has to take a higher complication rate and lower success rate than primary repairs into account.In agreement with the literature a retrospective investigation of 61 open revision surgeries after an average follow up of more 4 years showed recurrent dislocations in 6 patients (9.8%). One of these patients had an adequate trauma and a seizure as the cause of dislocation. After thorough examination three patients revealed signs of a primarily overlooked connective tissue disorder.

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Comparison of outcomes of two different surgeries in regarding to complications for chronic anterior shoulder instability

Cited by 19 publications

References 26 publications

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

Comparison of Bristow procedure and Bankart arthroscopic method as the treatment of recurrent shoulder instability

Komplikationsmanagement nach fehlgeschlagener operativer Schulterstabilisierung

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