Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet
Abstract Background Best surgical of recurrent anterior shoulder instability remained controversial. We knew little about the superiority and choice between traditional open and modern arthroscopic techniques. We hypothesized that outcomes of all patients will be similar regardless of surgical techn...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1340-5 |
| _version_ | 1828110092584615936 |
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| author | Yingjie Xu Kailun Wu Qianli Ma Lei Zhang Yong Zhang Wu Xu Jiong Jiong Guo |
| author_facet | Yingjie Xu Kailun Wu Qianli Ma Lei Zhang Yong Zhang Wu Xu Jiong Jiong Guo |
| author_sort | Yingjie Xu |
| collection | DOAJ |
| description | Abstract Background Best surgical of recurrent anterior shoulder instability remained controversial. We knew little about the superiority and choice between traditional open and modern arthroscopic techniques. We hypothesized that outcomes of all patients will be similar regardless of surgical technique. Methods A retrospective case-cohort analysis of 168 patients who had recurrent anterior shoulder instability was conducted from September 2010 to December 2013. All cases (mean age 30.8 [range 18–50] years) were performed with arthroscopic Bankart repair (33 males/20 females), open Latarjet (34 males/18 females), and capsular shift (31 males/14 females). The average follow-up was 67.6 months (range 60–72). The shoulder instability index score (ISIS) was more than 3 with an average of 6.4. Results All treatments proved to be effective in improving shoulder functional status and reducing symptoms, while Latarjet had an advantage over subjective perception. The Rowe scores in arthroscopic Bankart, open Latarjet, and capsular shift group were 92.3 ± 1.5, 96.2 ± 2.1, and 93.2 ± 2.3, respectively, with significant difference. There was no significant difference in other functional outcomes. However, the Latarjet group in subjective results (subjective shoulder value (SSV) and subjective shoulder value for sport practice (SSV Sport)) was superior to the others (P < 0.05). There were two relapsed cases in arthroscopic Bankart and capsular shift group, respectively, and no recurrence in open Latarjet group. Conclusion Arthroscopic Bankart repair has the advantage of mini-invasion and rapid recovery. Capsular shift offers stabilizing of inferior or multidirectional type, especially for little bone defect. Latarjet was more effective in reducing recurrence with higher stability. Level of evidence Therapeutic level III |
| first_indexed | 2024-04-11T11:14:23Z |
| format | Article |
| id | doaj.art-b25bf20c051b46a8956f48f4a3a4b079 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:14:23Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b25bf20c051b46a8956f48f4a3a4b0792022-12-22T04:27:18ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-10-011411710.1186/s13018-019-1340-5Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open LatarjetYingjie Xu0Kailun Wu1Qianli Ma2Lei Zhang3Yong Zhang4Wu Xu5Jiong Jiong Guo6Department of Orthopedics, The First Affiliated Hospital of Soochow UniversityDepartment of Orthopedics, Suzhou Dushuhu Public Hospital (Dushuhu Public Hospital Affiliated to Soochow University)Department of Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen UniversityDepartment of Orthopedics, The First Affiliated Hospital of Soochow UniversityDepartment of Orthopedics, The First Affiliated Hospital of Soochow UniversityDepartment of Orthopedics, The First Affiliated Hospital of Soochow UniversityDepartment of Orthopedics, The First Affiliated Hospital of Soochow UniversityAbstract Background Best surgical of recurrent anterior shoulder instability remained controversial. We knew little about the superiority and choice between traditional open and modern arthroscopic techniques. We hypothesized that outcomes of all patients will be similar regardless of surgical technique. Methods A retrospective case-cohort analysis of 168 patients who had recurrent anterior shoulder instability was conducted from September 2010 to December 2013. All cases (mean age 30.8 [range 18–50] years) were performed with arthroscopic Bankart repair (33 males/20 females), open Latarjet (34 males/18 females), and capsular shift (31 males/14 females). The average follow-up was 67.6 months (range 60–72). The shoulder instability index score (ISIS) was more than 3 with an average of 6.4. Results All treatments proved to be effective in improving shoulder functional status and reducing symptoms, while Latarjet had an advantage over subjective perception. The Rowe scores in arthroscopic Bankart, open Latarjet, and capsular shift group were 92.3 ± 1.5, 96.2 ± 2.1, and 93.2 ± 2.3, respectively, with significant difference. There was no significant difference in other functional outcomes. However, the Latarjet group in subjective results (subjective shoulder value (SSV) and subjective shoulder value for sport practice (SSV Sport)) was superior to the others (P < 0.05). There were two relapsed cases in arthroscopic Bankart and capsular shift group, respectively, and no recurrence in open Latarjet group. Conclusion Arthroscopic Bankart repair has the advantage of mini-invasion and rapid recovery. Capsular shift offers stabilizing of inferior or multidirectional type, especially for little bone defect. Latarjet was more effective in reducing recurrence with higher stability. Level of evidence Therapeutic level IIIhttp://link.springer.com/article/10.1186/s13018-019-1340-5ShoulderInstabilityBankartLatarjetCapsular shift |
| spellingShingle | Yingjie Xu Kailun Wu Qianli Ma Lei Zhang Yong Zhang Wu Xu Jiong Jiong Guo Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet Journal of Orthopaedic Surgery and Research Shoulder Instability Bankart Latarjet Capsular shift |
| title | Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet |
| title_full | Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet |
| title_fullStr | Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet |
| title_full_unstemmed | Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet |
| title_short | Comparison of clinical and patient-reported outcomes of three procedures for recurrent anterior shoulder instability: arthroscopic Bankart repair, capsular shift, and open Latarjet |
| title_sort | comparison of clinical and patient reported outcomes of three procedures for recurrent anterior shoulder instability arthroscopic bankart repair capsular shift and open latarjet |
| topic | Shoulder Instability Bankart Latarjet Capsular shift |
| url | http://link.springer.com/article/10.1186/s13018-019-1340-5 |
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