The Role of Arthroscopy in Revision of Failed Open Anterior Stabilization of the Shoulder

Boileau, Pascal; Richou, J.; Lisai, Andrea; Chuinard, Christopher; Bicknell, Ryan T.

doi:10.1016/j.arthro.2009.04.073

Cited by 88 publications

(63 citation statements)

References 24 publications

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“…They reported a satisfactory outcome in 13 patients (72%) and recurrent instability in 3 patients (16%). In another study, Boileau et al 10) reported that all 22 patients returned to work and only one patient presented with recurrent anterior instability (5%) [11][12][13] In their study that investigated the use of double anchor footprint fixation (DAFF) technique for arthroscopic Bankhart repair, Yoneda 14) have suggested that DAFF technique should be indicated for patients with glenoid defect of greater than 20% whereas DAFF technique in combination with bone grafting, for patients with glenoid defect of less than 20%. In this study, we found that suture bridge repair in three patients provided good clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors

Choi

Kim²,

Chae³

et al. 2016

Clinics in Shoulder and Elbow

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Background: We investigated the risk factors for the recurrence of anterior shoulder instability after arthroscopic surgery with suture anchors and the clinical outcomes after reoperation. Methods: A total of 281 patients (February 2001 to December 2012 were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores. Results: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. The size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation. Conclusions: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence was the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor. (Clin Shoulder Elbow 2016;19(2):78-83)

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors

Choi

Kim²,

Chae³

et al. 2016

Clinics in Shoulder and Elbow

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show abstract

“…Additionally, a Stryker notch view is helpful for evaluating Hill-Sachs lesions. Nevertheless, it should be emphasised that radiographic examinations are not always easy to interpret because of artifacts from scarring and hardware from the previous surgical procedures [16]. A computerised tomography scan is a useful way to determine the extent of any bone loss in the humeral head or glenoid component.…”

Section: Discussionmentioning

confidence: 99%

“…Fourthly, cases of capsular laxity should be managed arthroscopically and meticulously as unaddressed anteroinferior capsular laxity could lead to the failure of the arthroscopic stabilization. Lastly, our contraindication for the arthroscopic revision technique are voluntary dislocation, significant or engaging Hill-Sachs lesions, severe erosion of the glenoid rim or inverted pear glenoid as described by Burkhart and De Beer [20], severe osteoarthritis and shoulder stiffness [16].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Revision Surgery of Failed Open Bankart Repair: Case Reports

Sedeek

2013

J Med Cases

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The clinical outcome of revision surgery for the failed Bankart repair is not well known. The purpose of this case study is to report the success rates achieved in two cases using arthroscopic techniques to revise failed open Bankart repairs. Both patients showed significant improvements in terms of shoulder stability and function at post-arthroscopic revision with no recurrences on follow-up. Their overall function and stability were evidenced by the improvements in shoulder scores and subjective scoring. In conclusion, arthroscopic revision of failed open anterior shoulder stabilisation using suture anchors is a reliable procedure in relation to the recurrence rate, range of motion and shoulder function in carefully selected patients, and with a proper workup.

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“…However, there is no literature evidence if, in the case of revision surgery and in the absence of severe bone loss, an arthroscopic procedure could be a viable option. Some authors have already reported satisfactory outcomes with a low risk of recurrence after arthroscopic capsuloplasty in patients with failed glenohumeral stabilisation, either using open or arthroscopic techniques 7,15,16 . Nevertheless, the percentage of failure could be even higher if we consider not only a recurrence of instability (dislocation or subluxation) but also a painful residual apprehension of the shoulder 7 as a failure.…”

Section: Introductionmentioning

confidence: 99%

Can arthroscopic revision surgery for shoulder instability be a fair option?

Giorgi

Garofalo

Tafuri

et al. 2014

MLTJ

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SummaryBackground: the aim of this study was to evaluate the role of arthroscopic capsuloplasty in the treatment of failed primary arthroscopic treatment of glenohumeral instability. Methods: we retrospectively examined at a minimum of 3-years follow-up 22 patients who underwent arthroscopic treatment between 1999 and 2007 who had recurrent anterior shoulder instability with a post-surgical failure. A statistical analysis was performed to evaluate which variable could influence the definitive result and clinical outcomes at final follow-up. A p value of less than 0.05 was considered significant. Results: we observed after revision surgery an overall failure rate of 8/22 (36.4%) including frank dislocations, subluxations and also apprehension that seriously inhibit the patient's quality of life. No significant differences were observed in the examined parameters. Conclusions: according to our outcomes we gen-

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The Role of Arthroscopy in Revision of Failed Open Anterior Stabilization of the Shoulder

Cited by 88 publications

References 24 publications

Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors

Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors

Arthroscopic Revision Surgery of Failed Open Bankart Repair: Case Reports

Can arthroscopic revision surgery for shoulder instability be a fair option?

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