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Comparison of perioperative complications following surgical treatment of shoulder instability
BACKGROUND: Surgical repair for shoulder instability includes arthroscopic Bankart, open Bankart, and Latarjet-Bristow. METHODS: This is a cohort study of patients who underwent arthroscopic Bankart, open Bankart, or Latarjet-Bristow procedures that were identified within the National Surgical Quali...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091785/ https://www.ncbi.nlm.nih.gov/pubmed/35572454 http://dx.doi.org/10.1016/j.jseint.2022.01.001 |
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author | Eberlin, Christopher T. Varady, Nathan H. Kucharik, Michael P. Naessig, Sara A. Best, Matthew J. Martin, Scott D. |
author_facet | Eberlin, Christopher T. Varady, Nathan H. Kucharik, Michael P. Naessig, Sara A. Best, Matthew J. Martin, Scott D. |
author_sort | Eberlin, Christopher T. |
collection | PubMed |
description | BACKGROUND: Surgical repair for shoulder instability includes arthroscopic Bankart, open Bankart, and Latarjet-Bristow. METHODS: This is a cohort study of patients who underwent arthroscopic Bankart, open Bankart, or Latarjet-Bristow procedures that were identified within the National Surgical Quality Improvement Program database (2007-2019). Unadjusted and adjusted analyses were performed (α = 0.05). Outcomes included 30-day adverse events, readmission, and operative time. RESULTS: This study included 10,955 patients (9128 arthroscopic Bankart, 1148 open Bankart, and 679 Latarjet-Bristow). Compared with arthroscopic Bankart, Latarjet-Bristow had longer operative times (129.96 [95% CI: 126.49-133.43] vs. 86.35 [85.51-87.19] minutes), along with a higher percentage of serious adverse events (2.5% vs. 0.4%), reoperation (1.9% vs. 0.1%), readmission (1.8% vs. 0.3%), thromboembolic complications (0.4% vs. 0.1%), and sepsis (0.4% vs. 0.0%) (P < .05 for all). Open Bankart had longer operative times (98.17 [95.52-100.82] vs. 86.35 [85.51-87.19] minutes) and a higher percentage of sepsis (0.2% vs. 0.0%) (P < .05 both). Latarjet-Bristow had increased odds of a serious adverse event (odds ratio [OR]: 7.68 [4.19-14.07]), reoperation (OR: 17.32 [7.58-39.56]), readmission (OR: 5.73 [2.84-11.54]), and deep wound complications (OR: 14.98 [3.92-57.23]) (P < .05 for all). In comparing the relative utilization of arthroscopic versus open Bankart, arthroscopic Bankart increased (83.4% to 91.2%) while open Bankart decreased (16.6% to 8.8%) from the 2011-2013 time period to 2017-2019 (P(trend) < .001). CONCLUSION: In addition to a low complication rate, the relative utilization of arthroscopic Bankart increased compared with open Bankart over the past decade. Furthermore, Latarjet-Bristow was associated with a higher incidence of serious adverse events than arthroscopic Bankart. |
format | Online Article Text |
id | pubmed-9091785 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-90917852022-05-12 Comparison of perioperative complications following surgical treatment of shoulder instability Eberlin, Christopher T. Varady, Nathan H. Kucharik, Michael P. Naessig, Sara A. Best, Matthew J. Martin, Scott D. JSES Int Shoulder BACKGROUND: Surgical repair for shoulder instability includes arthroscopic Bankart, open Bankart, and Latarjet-Bristow. METHODS: This is a cohort study of patients who underwent arthroscopic Bankart, open Bankart, or Latarjet-Bristow procedures that were identified within the National Surgical Quality Improvement Program database (2007-2019). Unadjusted and adjusted analyses were performed (α = 0.05). Outcomes included 30-day adverse events, readmission, and operative time. RESULTS: This study included 10,955 patients (9128 arthroscopic Bankart, 1148 open Bankart, and 679 Latarjet-Bristow). Compared with arthroscopic Bankart, Latarjet-Bristow had longer operative times (129.96 [95% CI: 126.49-133.43] vs. 86.35 [85.51-87.19] minutes), along with a higher percentage of serious adverse events (2.5% vs. 0.4%), reoperation (1.9% vs. 0.1%), readmission (1.8% vs. 0.3%), thromboembolic complications (0.4% vs. 0.1%), and sepsis (0.4% vs. 0.0%) (P < .05 for all). Open Bankart had longer operative times (98.17 [95.52-100.82] vs. 86.35 [85.51-87.19] minutes) and a higher percentage of sepsis (0.2% vs. 0.0%) (P < .05 both). Latarjet-Bristow had increased odds of a serious adverse event (odds ratio [OR]: 7.68 [4.19-14.07]), reoperation (OR: 17.32 [7.58-39.56]), readmission (OR: 5.73 [2.84-11.54]), and deep wound complications (OR: 14.98 [3.92-57.23]) (P < .05 for all). In comparing the relative utilization of arthroscopic versus open Bankart, arthroscopic Bankart increased (83.4% to 91.2%) while open Bankart decreased (16.6% to 8.8%) from the 2011-2013 time period to 2017-2019 (P(trend) < .001). CONCLUSION: In addition to a low complication rate, the relative utilization of arthroscopic Bankart increased compared with open Bankart over the past decade. Furthermore, Latarjet-Bristow was associated with a higher incidence of serious adverse events than arthroscopic Bankart. Elsevier 2022-02-03 /pmc/articles/PMC9091785/ /pubmed/35572454 http://dx.doi.org/10.1016/j.jseint.2022.01.001 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Shoulder Eberlin, Christopher T. Varady, Nathan H. Kucharik, Michael P. Naessig, Sara A. Best, Matthew J. Martin, Scott D. Comparison of perioperative complications following surgical treatment of shoulder instability |
title | Comparison of perioperative complications following surgical treatment of shoulder instability |
title_full | Comparison of perioperative complications following surgical treatment of shoulder instability |
title_fullStr | Comparison of perioperative complications following surgical treatment of shoulder instability |
title_full_unstemmed | Comparison of perioperative complications following surgical treatment of shoulder instability |
title_short | Comparison of perioperative complications following surgical treatment of shoulder instability |
title_sort | comparison of perioperative complications following surgical treatment of shoulder instability |
topic | Shoulder |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091785/ https://www.ncbi.nlm.nih.gov/pubmed/35572454 http://dx.doi.org/10.1016/j.jseint.2022.01.001 |
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