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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 6, 745-750.
doi: 10.1302/0301-620X.90B6.20018  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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The effectiveness of arthroscopic stabilisation for failed open shoulder instability surgery

N. L. Millar, MBChB, MRCS(Glasg), Specialist Registrar in Trauma and Orthopaedics1; and G. A. C. Murrell, MBBS, DPhil(Oxon), MD, Professor of Orthopaedic Surgery, Chief of the Sports Medicine and Shoulder Service and Director2

1 West of Scotland Orthopaedic Training Programme, c/o 143 Wilton Street, Glasgow G20 6DQ, UK.
2 Orthopaedic Research Institute, Research and Education Centre, Level 2, St George Hospital, 4 - 10 South Street, Kogarah, Sydney, New South Wales 2217, Australia.

Correspondence should be sent to Professor G. A. C. Murrell; e-mail: murrell.g{at}ori.org.au

We identified ten patients who underwent arthroscopic revision of anterior shoulder stabilisation between 1999 and 2005. Their results were compared with 15 patients, matched for age and gender, who had a primary arthroscopic stabilisation during the same period.

At a mean follow-up of 37 and 36 months, respectively, the scores for pain and shoulder function improved significantly between the pre-operative and follow-up visits in both groups (p = 0.002), with no significant difference between them (p = 0.4). The UCLA and Rowe shoulder scores improved significantly (p = 0.004 and p = 0.002, respectively), with no statistically significant differences between groups (p = 0.6). Kaplan-Meier analysis for time to recurrent instability showed no differences between the groups (p = 0.2).

These results suggest that arthroscopic revision anterior shoulder stabilisation is as reliable as primary arthroscopic stabilisation for patients who have had previous open surgery for recurrent anterior instability.




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R. V. Patel, K. Apostle, J. M. Leith, and W. D. Regan
Revision arthroscopic capsulolabral reconstruction for recurrent instability of the shoulder
J Bone Joint Surg Br, November 1, 2008; 90-B(11): 1462 - 1467.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General