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

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

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

De Giorgi S; Department Basic Medical Sciences, Neuro-sciences and Sensory, University of Bari, Italy.
Garofalo R; Shoulder Service, Miulli Hospital, Acquaviva delle Fonti, Bari, Italy.
Tafuri S; Department of Biomedical Science and Human Oncology, University of Bari, Italy.
Cesari E; Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milano, Italy.
Rose GD; Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milano, Italy.
Castagna A; Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milano, Italy.

Muscles Ligaments Tendons J ; 4(2): 226-31, 2014 Apr.

Article en En | MEDLINE | ID: mdl-25332940

ABSTRACT

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.