Comparison of Outcomes of Open Versus Arthroscopic Stabilization of Recurrent Anterior Shoulder Dislocation
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 03
Abstract
Objective: To compare the outcomes of open versus arthroscopic Bankart procure for stabilization of recurrent anterior shoulder joint dislocation. Methodology: A single surgeon randomly assigned 24 consecutive patients with recurrent anterior shoulder instability to either arthroscopic or open stabilization. Prior to surgery, MRI arthrogram tests were acquired. These results were contrasted with arthroscopic results. Range of motion, stability, and subjective evaluations such as the Western Ontario Instability Index and ASES were all part of the postoperative examinations at 2nd and 17th week post-operatively. Results: 90 participants were eligible. Out of these, 66 were not eligible. Twenty-four (twelve in each group) Prior to meeting their assigned surgeon, patients were randomly assigned to either the arthroscopic or the open surgery group after giving their consent to participate. Independent t-test functional score was mean (and SD) for ASES score open surgery 74.33 ± 2.535, for arthroscopic surgery 92.0 ± 3.162, for, ROWE score open surgery 79.58 ± 4.337 and for arthroscopic surgery 95.50 ± 1.44. There is no significant difference in ASES and ROWE score (p= 0.362) and (p= 0.925). The WOSI scores increased significantly from baseline to 2nd week and 17th week postoperatively within each treatment group Conclusion: After open and arthroscopic stabilization, the clinical results were comparable. In shoulders with anterior instability, preoperative magnetic resonance arthrograms enable an accurate identification of intra-articular abnormalities that correlates well with surgical results. The clinical results of arthroscopic surgery for recurrent anterior shoulder instability are on par with those following conventional surgical stabilization.
Authors and Affiliations
M. Amir Sohail1, Tehreem Umair PT2, Mian Muhammd Sohaib Arshad3, Kiran Liaquat PT4, Mahnoor Amjad PT5
Keywords
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