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Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques

BACKGROUND: The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature. PURPOSE: To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair. STUDY DESIGN:...

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Autores principales: Virk, Mandeep S., Manzo, Richard L., Cote, Mark, Ware, James K., Mazzocca, Augustus D., Nissen, Carl W., Shea, Kevin P., Arciero, Robert A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
10
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999537/
https://www.ncbi.nlm.nih.gov/pubmed/27570783
http://dx.doi.org/10.1177/2325967116654114
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author Virk, Mandeep S.
Manzo, Richard L.
Cote, Mark
Ware, James K.
Mazzocca, Augustus D.
Nissen, Carl W.
Shea, Kevin P.
Arciero, Robert A.
author_facet Virk, Mandeep S.
Manzo, Richard L.
Cote, Mark
Ware, James K.
Mazzocca, Augustus D.
Nissen, Carl W.
Shea, Kevin P.
Arciero, Robert A.
author_sort Virk, Mandeep S.
collection PubMed
description BACKGROUND: The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature. PURPOSE: To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients with recurrent traumatic anterior shoulder instability and a Bankart lesion on diagnostic arthroscopy underwent either open Bankart repair (OB) or arthroscopic Bankart and suture capsulorrhaphy (ABSC) using suture anchors. There was a minimum follow-up of 24 months. The primary outcome measures included Western Ontario Shoulder Instability Index (WOSI) score and time to recurrence of instability (dislocation or subluxation). Rowe score, Simple Shoulder Test, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and Short Form–12 (SF-12) score were also compared. RESULTS: A total of 82 shoulders in 80 patients (ABSC, n = 58; OB, n = 24) were evaluated at a mean of 39 months postoperatively. There were 4 clinical failures in the OB group (4 dislocations) and 7 clinical failures in the ABSC group (2 dislocations and 5 subluxations; P = .72 vs OB). The mean time to recurrence of postoperative instability was significantly shorter in the ABSC group (12.6 ± 2.7 months) compared with the OB group (34.2 ± 12 months; P = .04). The WOSI score in the OB group (265 ± 48.1) was better but not statistically significantly compared with the ABSC group (449.8 ± 63.8; P = .06). CONCLUSION: The time to recurrence of instability after open Bankart repair is significantly longer compared with arthroscopic Bankart repair. CLINICAL RELEVANCE: Delayed time to recurrence after open Bankart repair suggests that the open technique may be more suited to withstand the high stress and demands of a heavy-duty profession (contact athletes and heavy manual labor).
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spelling pubmed-49995372016-08-26 Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques Virk, Mandeep S. Manzo, Richard L. Cote, Mark Ware, James K. Mazzocca, Augustus D. Nissen, Carl W. Shea, Kevin P. Arciero, Robert A. Orthop J Sports Med 10 BACKGROUND: The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature. PURPOSE: To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients with recurrent traumatic anterior shoulder instability and a Bankart lesion on diagnostic arthroscopy underwent either open Bankart repair (OB) or arthroscopic Bankart and suture capsulorrhaphy (ABSC) using suture anchors. There was a minimum follow-up of 24 months. The primary outcome measures included Western Ontario Shoulder Instability Index (WOSI) score and time to recurrence of instability (dislocation or subluxation). Rowe score, Simple Shoulder Test, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and Short Form–12 (SF-12) score were also compared. RESULTS: A total of 82 shoulders in 80 patients (ABSC, n = 58; OB, n = 24) were evaluated at a mean of 39 months postoperatively. There were 4 clinical failures in the OB group (4 dislocations) and 7 clinical failures in the ABSC group (2 dislocations and 5 subluxations; P = .72 vs OB). The mean time to recurrence of postoperative instability was significantly shorter in the ABSC group (12.6 ± 2.7 months) compared with the OB group (34.2 ± 12 months; P = .04). The WOSI score in the OB group (265 ± 48.1) was better but not statistically significantly compared with the ABSC group (449.8 ± 63.8; P = .06). CONCLUSION: The time to recurrence of instability after open Bankart repair is significantly longer compared with arthroscopic Bankart repair. CLINICAL RELEVANCE: Delayed time to recurrence after open Bankart repair suggests that the open technique may be more suited to withstand the high stress and demands of a heavy-duty profession (contact athletes and heavy manual labor). SAGE Publications 2016-06-23 /pmc/articles/PMC4999537/ /pubmed/27570783 http://dx.doi.org/10.1177/2325967116654114 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle 10
Virk, Mandeep S.
Manzo, Richard L.
Cote, Mark
Ware, James K.
Mazzocca, Augustus D.
Nissen, Carl W.
Shea, Kevin P.
Arciero, Robert A.
Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title_full Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title_fullStr Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title_full_unstemmed Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title_short Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques
title_sort comparison of time to recurrence of instability after open and arthroscopic bankart repair techniques
topic 10
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999537/
https://www.ncbi.nlm.nih.gov/pubmed/27570783
http://dx.doi.org/10.1177/2325967116654114
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