Arthroscopic treatment of anterior shoulder instability using knotless suture anchors

Details

Serval ID
serval:BIB_4D902696B3EE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Arthroscopic treatment of anterior shoulder instability using knotless suture anchors
Journal
Arthroscopy
Author(s)
Garofalo  R., Mocci  A., Moretti  B., Callari  E., Di Giacomo  G., Theumann  N., Cikes  A., Mouhsine  E.
ISSN
1526-3231
Publication state
Published
Issued date
11/2005
Peer-reviewed
Oui
Volume
21
Number
11
Pages
1283-9
Notes
Evaluation Studies
Garofalo, Raffaele
Mocci, Andrea
Moretti, Biagio
Callari, Eugenio
Di Giacomo, Giovanni
Theumann, Nicolas
Cikes, Alec
Mouhsine, Elyazid
United States
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Arthroscopy. 2005 Nov;21(11):1283-9. --- Old month value: Nov
Abstract
PURPOSE: In this study, we evaluated the results of arthroscopic stabilization of the shoulder using knotless anchors and the lesions associated with anterior-inferior labrum avulsion. TYPE OF STUDY: Retrospective clinical study. METHODS: Twenty consecutive patients affected with anterior unidirectional post-traumatic shoulder instability were treated with arthroscopic reconstruction using knotless anchors. During the surgical procedure, associated lesions such as superior labrum anterior posterior (SLAP) (15%) and rotator interval (15%) were repaired. The patients were evaluated at a mean follow-up of 43 months. RESULTS: Eighty percent of patients resumed sports activity without any limitation and 90% of patients were satisfied with the results of surgery. One patient (5%) had a recurrent dislocation; this patient resumed a contact sport activity despite medical advice. One patient (5%) related signs of shoulder insecurity at the extreme degree of abduction and external rotation; this patient had resumed sports activity with a moderate limitation and was the only patient who was not completely satisfied with the results of surgery. No significant difference was observed between the operated and the contralateral shoulder according to the Rowe and Constant scores. The mean loss of external rotation was 3 degrees . We did not have any cases of anchor loosening, nor did we find signs of shoulder degenerative osteoarthritis on the radiographs. CONCLUSIONS: The knotless anchor seems to be a viable alternative for arthroscopic labrum repair, allowing a good capsular shift. Arthroscopic management of shoulder instability allows us to diagnose and treat associated lesions, thus improving the success rate of this type of surgery. LEVEL OF EVIDENCE: Level IV, case series.
Keywords
Accidents Adult *Arthroscopy/statistics & numerical data Athletic Injuries/surgery Cartilage, Articular/injuries/surgery Female Fibrocartilage/injuries/surgery Follow-Up Studies Humans Joint Instability/*surgery Male Patient Satisfaction Recovery of Function Recurrence Retrospective Studies Rotator Cuff/injuries/surgery Shoulder Dislocation/etiology/*surgery Shoulder Joint/*surgery Single-Blind Method Suture Techniques/*instrumentation Treatment Outcome
Pubmed
Web of science
Create date
11/04/2008 12:01
Last modification date
20/08/2019 14:02
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