Editorial Commentary: Open or Arthroscopic Surgery? Practice Makes Perfect…We Do Best What We Do Most Often

Abstract

The reported outcomes of Bankart procedures performed after 2000 are significantly better than those reported prior to that date. The cause of this improvement can be found in adherence to the specific steps outlined in the Arthroscopy Association of North America Proficiency-Based Training program, improvements in instrumentation and implants and more appropriate patient selection. What is defined as an arthroscopic Bankart has also expanded. Patientselection criteria have also changed dramatically over the past 2 decades, reflecting a better understanding of anterior shoulder instability and altering the choice of patients who should receive arthroscopic Bankart procedures. The arthroscopic Bankart with dual suture anchor remplissage is arguably the current arthroscopic gold standard for anterior shoulder "off-track" instability.

Pain Control After Shoulder Arthroscopy: A Systematic Review of Randomized Controlled Trials With a Network Meta-analysis

“…Shoulder arthroscopy is one of the most commonly performed orthopaedic procedures, with .500,000 procedures every year 41 and with technical advances allowing for more pathologies to be treated arthroscopically. 13,35,38 However, postoperative pain is a common complaint, and given the increasing rise in opioid abuse among orthopaedic patients, alternative management strategies have become increasingly important. 5 In addition to the significant discomfort to patients, severe postoperative pain results in discharge delays and unexpected hospital readmission.…”