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

De Giorgi, Silvana and Garofalo, Raffaele and Tafuri, Silvio and Cesari, Eugenio and Delle Rose, Giacomo and Castagna, Alessandro (2014) Can arthroscopic revision surgery for shoulder instability be a fair option? M.L.T.J. Muscles, Ligaments and Tendons Journal, 4 (2). pp. 226-231. ISSN 2240-4554

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Background: 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 generally do not recommend an arthroscopic revision procedure for failed instability surgery.

Item Type: Article
Uncontrolled Keywords: arthroscopic failure, capsuloplasty, shoulder instability
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.1 Ferite e lesioni
Depositing User: Chiara D'Arpa
Date Deposited: 20 May 2015 12:31
Last Modified: 20 May 2015 12:31

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