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

Silvana De Giorgi, Raffaele Garofalo, Silvio Tafuri, Eugenio Cesari, Giacomo Delle Rose, Alessandro Castagna

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)226-231
Number of pages6
JournalMuscles, Ligaments and Tendons Journal
Volume4
Issue number2
DOIs
Publication statusPublished - 2014

Keywords

  • Arthroscopic failure
  • Capsuloplasty
  • Shoulder instability

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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