Khoriati Al-Achraf, Fozo Zien A, Antonios Tony, Dimock Richard, Imam Mohamed, Narvani Ali
Arch Bone Jt Surg. 2024;12(9):669-673. doi: 10.22038/ABJS.2024.78466.3617.
Numerous surgical techniques have been developed to address recurrent anterior shoulder instability, with the Bankart repair and the Latarjet procedure emerging as dominant. With recent advancements in keyhole surgery, there's been a surge in popularity for all-arthroscopic procedures. Our systematic review aims to determine if there's justification for incorporating these techniques into a classification system for guiding treatment of traumatic anterior recurrent instability. We identified and analysed a variety of key studies, including 12 systematic reviews, three prospective studies, seven non-randomized prospective and retrospective studies, along with one biomechanical study. Our study sheds light on the wide range of procedures available to shoulder surgeons dealing with traumatic anterior recurrent instability. We introduce a novel classification system (BoTH) designed to simplify the decision-making process in this context.
为解决复发性前肩不稳问题，人们已经开发出了多种手术技术，其中Bankart修复术和Latarjet手术成为主流。随着近年来关节镜手术的进展，全关节镜手术越来越受欢迎。我们的系统评价旨在确定将这些技术纳入创伤性前复发性不稳治疗的分类系统是否合理。我们识别并分析了各种关键研究，包括12项系统评价、3项前瞻性研究、7项非随机前瞻性和回顾性研究以及1项生物力学研究。我们的研究揭示了处理创伤性前复发性不稳的肩部外科医生可采用的广泛手术方法。我们引入了一种新颖的分类系统（BoTH），旨在简化这方面的决策过程。
