---

Comparative study between open and arthroscopic surgical techniques in the management of recurrent anterior instability of the shoulder

Full Text PDF

---

Original Article

Author Details : Subhankar Mukherjee, Arunangshu Bhattacharya, Hriday Narayan Mishra*, Ranajit Bhatta, Subhasish Saha

Volume : 6, Issue : 4, Year : 2020

Article Page : 283-291

https://doi.org/10.18231/j.ijos.2020.053

Suggest article by email

Get Permission

Abstract

Background: Present study was done to compare the effectiveness i.e. range of motion and incidence of failure rates, recurrence and pain of arthroscopic repair versus open surgical techniques for the management of recurrent anterior shoulder instability.

Materials and Methods: Institution based open-label, comparative clinical study was done at Medical College and Hospital, Kolkata between March 2016 to August 2017 (1.5 years). Based on the result of a similar previous study, a sample size of 15 in each group was calculated. Therefore, 15 cases of anterior shoulder instability treated by arthroscopic method and 15 cases treated by open surgery have been selected for study. Inclusion criteria were patient with soft tissue Bankart’s lesion, bony Bankart’s lesion, humeral avulsion of glenohumeral ligament (HAGL), anterior labral posterior sleeve avulsion (ALPSA), glenoidlabrum and articular disruption and capsular stretch and injury. Study tools were used like Modified Rowe score, ASES (American Shoulder and Elbow Society) score and Goniometer. Operative techniques were used like arthroscopic capsulolabral repair and latarjet procedure.

Results: About 14 (93.3%) patients were negative in bony apprehension test in arthroscopic technique. Approximately 15 (93.8%) patients were positive in bony apprehension test in Open technique. Association between bony apprehension test in two groups was not statistically significant (p<0> difference was found between according to CT scan report in two groups (p=0.30910). Mean Rowe pain was significantly higher according in arthroscopic technique compare to open technique at 6W and 9W follow-up period. Mean Rowe stability was significantly higher according in arthroscopic technique
compare to open technique at 6W and 9W follow-up period.

Conclusion: Both arthroscopic and open surgical methods are utilized for management of anterior
glenohumeral instability. The use of arthroscopy has increased significantly in today’s practice and has begun to replace the traditional open methods with the benefit of small incision, less restriction of motion, quicker return to sports and higher patient’s satisfaction.

Keywords: Recurrent anterior shoulder instability, Bankart’s lesion, Open arthroscopic repair.

How to cite : Mukherjee S, Bhattacharya A, Mishra H N, Bhatta R, Saha S, Comparative study between open and arthroscopic surgical techniques in the management of recurrent anterior instability of the shoulder. Indian J Orthop Surg 2020;6(4):283-291

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.