Journals / Acta Orthopaedica et Traumatologica Turcica / 2015 / Cilt: 49 - Sayı: 1

Arthroscopic stabilization of anterior shoulder instability using a single anterior portal

Pages
6–12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The use of a single portal is less invasive and reduces the surgical period

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to compare the effects of the use of a single anterior portal in the arthroscopic surgery treatment of traumatic anterior shoulder instability with those in the literature.Methods: The study included 72 patients (60 males, 12 females; mean age: 23.9 years) who underwent surgery using a single arthroscopic anterior portal for the treatment of traumatic anterior shoulder instability between 2002 and 2011.
📊
Key Findings & Data:Redislocation was considered failure.Results: Mean follow-up was 49.3 months.
💡
Conclusion & Impact:The use of a single portal is less invasive and reduces the surgical period
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to compare the effects of the use of a single anterior portal in the arthroscopic surgery treatment of traumatic anterior shoulder instability with those in the literature.Methods: The study included 72 patients (60 males, 12 females; mean age: 23.9 years) who underwent surgery using a single arthroscopic anterior portal for the treatment of traumatic anterior shoulder instability between 2002 and 2011. Clinical outcomes were assessed using the Rowe and Oxford scales, forward flexion range and external rotation limitation. Redislocation was considered failure.Results: Mean follow-up was 49.3 months. Bankart lesion was determined in 38 patients and Bankart and SLAP lesions in 34. An average of 3.7 (range: 2 to 5) anchors were used. Redislocation was observed in 4 (5.6%) patients in the postoperative period. Postoperative Rowe and Oxford scores were 93.4 and 42.6, respectively.Conclusion: Instability surgery performed using a single arthroscopic anterior portal provided findings comparable with the literature regarding clinical outcomes, postoperative shoulder movements and low recurrence rates, emphasizing the importance of appropriate patient selection rather than the number of the portals. The use of a single portal is less invasive and reduces the surgical period

🔖

Cite This Article

ARMANGİL, M., BAŞAT, H. Ç., AKAN, B., KARADUMAN, M., DEMİRTAŞ, M. (2015). Arthroscopic stabilization of anterior shoulder instability using a single anterior portal. Acta Orthopaedica et Traumatologica Turcica, Cilt: 49 - Sayı: 1, 6–12. https://ajindex.com/articles/210399

References (13)

  1. Bankart AS. The pathology and treatment of recurrent disloca- tion of the shoulder joint. Br J Surg 1938;26:23-9.
  2. Bigliani LU, Pollock RG, Soslowsky LJ, Flatow EL, Pawluk RJ, Mow VC. Tensile properties of the inferior glenohumeral liga- ment. J Orthop Res 1992;10:187-97.
  3. Mahiroğulları M, Ozkan H, Akyüz M, Uğraş AA, Güney A, Kuşkucu M. Comparison between the results of open and ar- throscopic repair of isolated traumatic anterior instability of the shoulder. Acta Orthop Traumatol Turc 2010;44:180-5.
  4. Cole BJ, Warner JJ. Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med 2000;19:19-48.
  5. Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 2006;88:1755-63.
  6. Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of anterior-inferior glenohumeral instability. Two to five-year follow-up. J Bone Joint Surg Am 2000;82-A:991-1003.
  7. Burkhart SS, Debeer JF, Tehrany AM, Parten PM. Quantifying glenoid bone loss arthroscopically in shoulder instability. Ar- throscopy 2002;18:488-91.
  8. Ee GW, Mohamed S, Tan AH. Long term results of arthroscopic Bankart repair for traumatic anterior shoulder instability. J Or- thop Surg Res 2011;6:28. Provencher MT, Ghodadra N, Romeo AA. Arthroscopic man- agement of anterior instability: pearls, pitfalls, and lessons learned. Orthop Clin North Am 2010;41:325-37.
  9. Atalar AC, Bilsel K, Eren I, Celik D, Cil H, Demirhan M. Modi- fied Latarjet procedure for patients with glenoid bone defect ac- companied with anterior shoulder instability. Acta Orthop Trau- matol Turc 2013;47:393-9.
  10. Voos JE, Livermore RW, Feeley BT, Altchek DW, Williams RJ, Warren RF, et al. Prospective evaluation of arthroscopic bankart repairs for anterior instability. Am J Sports Med 2010;38:302-7.
  11. Ahmed I, Ashton F, Robinson CM. Arthroscopic Bankart repair and capsular shift for recurrent anterior shoulder instability: functional outcomes and identification of risk factors for recur- rence. J Bone Joint Surg Am 2012;94:1308-15.
  12. Porcellini G, Campi F, Pegreffi F, Castagna A, Paladini P. Pre- disposing factors for recurrent shoulder dislocation after ar- throscopic treatment. J Bone Joint Surg Am 2009;91:2537-42.
  13. Chechik O, Maman E, Dolkart O, Khashan M, Shabtai L, Mozes G. Arthroscopic rotator interval closure in shoulder in- stability repair: a retrospective study. J Shoulder Elbow Surg 2010;19:1056-62. Milano G