Evaluation of postoperative results from videoarthroscopic treatment for recurrent shoulder dislocation using metal anchors

Abstract

ObjectiveTo clinically and radiologically evaluate the results from videoarthroscopic treatment using metal anchors in patients with recurrent shoulder dislocation and its complications.MethodsThis was a retrospective study on 47 patients (47 shoulders) operated by the shoulder group of the orthopedic hospital between February 2010 and February 2012. A questionnaire, interview and physical and radiographic examinations were used, with the classification of Samilson and Pietro. The mean postoperative follow-up was 33 months (range 12–47 months). The statistical analysis consisted of using Fisher's exact test through the IBM SPSS 22 statistical software. The significance level used was 5%.ResultsRecurrence was observed in nine cases. The patients were, on average, 26.5 years old at the first episode, and 19.1% were aged 20 years or under. Among these, 55.6% presented recurrence. In relation to age at the time of the surgical procedure, the average age was 27 years, and 12.8% were aged 20 years or under. Nineteen patients presented prominent anchors and, of these, 21% manifested arthrosis.ConclusionThere was a statistically identified correlation between the recurrence rate and age less than or equal to 20 years at the times of first dislocation and the surgical procedure. Further studies should be conducted in order to compare the use of absorbable anchors, which despite higher cost, may provide lower risk of developing glenohumeral arthrosis in some cases.

Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

“…Nenhum estudo fazia seguimento com o tempo de avaliação padronizado, e 5 estudos 16 17 18 19 20 (42%) tinham tempo de seguimento mínimo dos pacientes maior do que 2 anos. Dez estudos 17 18 20 21 22 23 24 25 26 27 (83%) eram séries de caso (nível de evidência IV), 1 (8%) estudo caso-controle 16 (nível de evidência III), e 1 coorte retrospectivo 19 (nível de evidência III). Não encontramos estudos randomizados ou coortes prospectivos.…”

“…Quatro estudos 16 22 24 26 (33%) avaliaram os resultados do tratamento da instabilidade glenoumeral anterior por via aberta, 3 (25%) estudavam a cirurgia de Latarjet-Patte, 16 22 26 e 1 (8%) estudou o reparo da lesão labial. 24 Em 8 publicações, 17 18 19 20 21 23 25 27 (66%) o reparo artroscópico das lesões labiais anteriores foi a técnica empregada, um desses avaliava o resultado desse procedimento associado ao remplissage da lesão de Hill-Sachs. 23 A média de desfechos avaliados por estudo foi de 3,7 ± 1,7 ( Fig.…”

“…There were no prospective randomized studies or prospective cohorts, and 83% of the papers referred to case series (level IV of evidence). 17 18 20 21 22 23 24 25 26 27…”

“…3 ). Em 7 publicações 16 17 19 22 23 24 26 (58%) foram usadas 2 escalas de avaliação; 3 estudos 18 20 27 (25%) apresentaram os resultados por apenas 1 questionário, e 2, 25 (17%) não usaram escalas ou questionários de avaliação.…”

“…Dez estudos 16 17 18 19 21 22 23 25 26 27 (83%) relataram as complicações relacionadas ao tratamento cirúrgico. A complicação mais frequentemente relatada foi a recidiva da instabilidade glenoumeral, encontrada nos 10 estudos (83%).…”