Cooke Stephen, Ennis Owain, Majeed Haroon, Rahmatalla Aziz, Kathuria Vinod, Wade Roger
University Hospital North Staffordshire, Princes Road, Stoke-on-Trent, Staffordshire, ST4 7LN, UK.
Int J Shoulder Surg. 2010 Apr;4(2):36-40. doi: 10.4103/0973-6042.70821.
Traumatic anterior dislocation of the shoulder is a common occurrence increasingly being treated arthroscopically. This study aims to determine the outcome of arthroscopic anterior stabilization using bioknotless anchors and analyze the motion in a subset of these patients.
The outcome of 20 patients who underwent arthroscopic anterior stabilization using the bioknotless system was studied (average follow-up 26 months). Four of these patients underwent motion analysis of their shoulder pre- and post-operatively.
15% were dissatisfied following surgery and the recurrence of instability was also 15%. Those who were dissatisfied or suffered recurrent symptoms had statistically significant lower constant scores at the final follow up. Pre-operative motion analysis showed a disordered rhythm of shoulder rotation which was corrected following surgery with minimal loss of range of motion.
Our success rate was comparable to similar arthroscopic techniques and results published in the literature. Patient satisfaction depended more on return to usual activities than recurrence of symptoms. There was very little reduction in range of movement following surgery and the rhythm of shoulder motion, particularly external rotation in abduction was improved.
Four retrospective series.
