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Outcome of Arthroscopic Stabilization of Anterior Shoulder Instability using All-Suture Anchor Technique
Keywords:
All-suture anchor, arthroscopy, Bankart lesion, Recurrent shoulder dislocation.Abstract
Objective: To determine the functional outcome of arthroscopic shoulder stabilization of anterior shoulder instability using all-suture anchors.
Methods: This descriptive study was conducted in Department of Orthopedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS) Rohtak, India from 9th June 2017 to 31st October 2019.All patients of shoulder instability fulfilling the inclusion criteria were treated with arthroscopic capsule labral repair using all-suture anchors. Post-operatively patients were followed up every two weeks for two months and then monthly for six months and final visit at 15th months follow up. The functional outcome was assessed with Rowe Scoring scale and UCLA(The University of California Los Angeles) scale. Based upon the Rowe score the outcome was rated as excellent(score 100 to 90),Good(89 to 75),Fair(74-51) and poor((50 or less).The UCLA score was rated as excellent/Good( > 27) and Fair/Poor score( < 27 score).Chi-square test was applied and P value was calculated for comparing pre and post op Rowe Score and UCLE score and value of < 0.05 was considered significant.
Results: The total number of patients enrolled in our study were 25. The average age of our patients was 23.6 years±5.50 (range 18 to 39 years).Male patients were 23(92%) and female 2(8%).The Rowe score improved from mean preoperative value of 41.8±11.72 to 94.4 ±1.66 post operatively(P< 0.05).The UCLA score improved from mean value of 24.56 ± 1.98 preoperatively to 34.68 ± 1.11 postoperatively(P < 0.05).As per Rowe score all the subjects had excellent outcome while 23(92%) patients had excellent outcome and 2(8%) good outcome as per UCLA score. None of the patients had recurrent dislocation or instability postoperatively.
Conclusion: Arthroscopic shoulder stabilization using all-suture anchors produced excellent functional outcome without any recurrent instability. It is a nearly scarless, minimally invasive procedure providing robust stability and mobility in selected patients and help patients to return to preinjury level in short span of time.
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