2014, Number 4
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Acta Ortop Mex 2014; 28 (4)
Arthroscopic repair of anterior relapsing shoulder dislocation. Is there a learning curve?
García-Lamas L, Bravo-Giménez B, Mellado-Romero M, García-Rodríguez R, Martín-López CM, Cano-Egea JM, Vilá, Rico J
Language: Spanish
References: 30
Page: 218-223
PDF size: 368.50 Kb.
ABSTRACT
Objective: We reviewed the first cases that underwent arthroscopic surgery at our center due to relapsing glenohumeral stability of the shoulder. The objective of this paper is to analyze the influence of the learning curve on the results obtained.
Material and methods: We analyzed 137 patients who underwent surgery at Hospital 12 de Octubre in Madrid, Spain between February 1999 and March 2010. A total of 101 patients met the inclusion criteria, and these patients were divided into two groups using a chronological order, the first 50 patients and the second 50 patients. There were no statistically significant differences in sex, age and laterality between both groups (p = 0.51, p = 0.15 and p = 0.23, respectively), so the groups were comparable. We compared the following between both groups: clinical outcomes, number of dislocations, reoperations and complications, i.e., implant migration, arthrosis and axillary nerve neuropathy. We also compared the functional results, which were measured using the Constant and Rowe scales.
Results: Four episodes of redislocation occurred in group 1 and 6 in group 2. Three reoperations were performed in group 1 and 6 in group 2. No statistically significant differences were found in the number of redislocations and reoperations (p = 50 and p = 0.48, respectively).
REFERENCES
Bankart ASB: The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Med. 1938: 23.
Sachs RA, Stone ML, Paxton E, Kuney M, Lin D: Can the need for future surgery for acute traumatic anterior shoulder dislocation be predicted? J Bone Joint Surg Am. 2007; 89: 1665-74.
Pope EJ, Ward JP, Rokito AS: Anterior shoulder instability: a history of arthroscopic treatment. Bull NY Hosp J Dis. 2011; 69(1): 44-9.
Zuckerman JD, Matsen FA: Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am. 1984; 66: 175-80.
Hawkins RB: Artroscopic stapling repair of shoulder instability: a retrospective study of 50 cases. Artrhoscopy. 1989; 5(2): 122-8.
Lane J, Sachs R, Riehl B: Arthroscopic staple capsulorrhaphy: a long-term follow-up. Arthroscopy. 1993; 9(2): 190-4.
Lenters TR, Franka AK, Wolf FM, Leopold SS, Matsen FA: Arthroscopic compared with open repairs for recurrent anterior shoulder instability. J Bone Joint Surg Am. 2007; 89(2): 244-54.
Mohtadi N, Bitar I, Sasyniuk T, Hollinshead R, Harper W: Arthroscopic versus open repair for traumatic anterior shoulder instability: A meta-analysis. Arthroscopy. 2005; 21(6): 652-8.
Freedman K, Smith A, Romeo A, Cole B, Bach B: Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorvable tracs for recurrent anterior instability of the shoulder. Am J Sports Med. 2004; 32(6): 1520-7.
Petrera M, Patella V, Patella S, Theodoropoulos J: A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatolog Arthrosc. 2010; 18: 1742-7.
Fabbriciani C, Milaono G, Demontis A, Fadda S, Ziranu F, Mulas PD: Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy. 2004; 20: 456-62.
Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH: Arthorscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med. 2006; 34: 1730-7.
Hernández-Vaquero D, Fernández-Fairen M, Torres-Pérez A, Santamaría A: Cirugía de mínima invasión frente a cirugía convencional. Una aproximación desde la evidencia científica. Rev Esp Cir Ortop Traumatol. 2012; 56(6): 444-58.
McFarland EG, Kim TK, Park HB, Neira CA, Gutierrez MI: The effect of variation in definition on the diagnosis of multidirectional instability of the shoulder. J Bone Joint Surg Am. 2003; 85: 2138-44.
Constant CR, Murley AH: A clinical method of functional assessment of the shoulder. Clin Orthop. 1987; 214: 160-4.
Rowe CR, Patel D, Southmayd WW: The Bankart procedure: a long-term end-results study. J Bone Joint Surg Am. 1978; 60-A: 1-16.
Webber S: A prospective evaluation comparing arthroscopic and open treatment in the management of recurrent anterior glenohumeral dislocation. Orthop Trans. 1991; 15: 763.
Steinbeck J, Jerosch J: Arthroscopic transglenoid stabilization versus open anchor suturing in traumatic anterior instability of the shoulder. Am J Sports Med. 1998; 26: 373-8.
Kartus J, Ejerhed L, Funck E, Kohler K, Sernert N, Karlsson J: Arthroscopic and open shoulder stabilization using absorbable implants. A clinical and radiographic comparison of two methods. Knee Surg Sports Traumatol Arthrosc. 1998; 6: 181-8.
Field L, Savoie F, Griffith P: A comparison of open and arthroscopic Bankart repair. J Shoulder Elbow Surg. 1999; 8: 195.
Karlsson J, Magnusson L, Ejerhed L, Hultenheim I, Lundin O, Kartus J: Comparison of open and arthroscopic stabilization for recurrent shoulder dislocation in patients with a Bankart lesion. Am J Sports Med. 2001; 29: 538-42.
Kim SH, Ha KI, Kim SH: Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy. 2002; 18: 755-63.
García-Rodriguez R, Díez-Nicolás E, Vilá-y-Rico J, Martín-Lopez CM, Cano-Egea JM: Medium-term results of arthroscopic repair of relapsing anteroinferior glenohumeral instability. Acta Ortop Mex. 2011; 25(6): 346-52.
Calvo Crespo AE, Caspari RB, Padgett LR: Tratamiento artroscópico de la inestabilidad anterior de hombro. Rev Esp Cir Ortop Traumatol. 1999; 43: 387-96.
Su B, Levine WN: Surgical techniques: Arthroscopic Bankart repair. J Am Acad Orthop Surg. 2005; 13: 487-90.
Jones CK, Field LD, Savoie III, FH: Reparación artroscópica de la inestabilidad: reparaciones anterior, posterior, multidireccional y de la microestabilidad. Surgical Artrhoscopy. 1995; 479-99.
Lintner SA, Speer KP: Traumatic anterior glenohumeral instability: the role of arthroscopy. J Am Acad Orthop Surg. 1997; 5: 233-9.
Ozbaydar M, ElhassanB, et al: The use of anchors in shoulder surgery: a shift from metallic to bioabsorbable anchors. Arthroscopy. 2007; 23(10): 1124-6.
Petty DH, Jazrawi LM, Estrada Ls, Andrews JR. Glenohumeral chondrolysis after shoulder arthroscopy: case reports and review of the literature. Am J Sports Med. 2004; 35: 509-15.
Nho SJ, Provencher MT, Seroyer ST, Romeo AA: Bioabsorbable anchors in glenohumeral surgery. Arthroscopy. 2009; 25(7): 788-93.