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Archives of Orthopaedic and Trauma Surgery

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01-11-2018 | Arthroscopy and Sports Medicine

Mid-term clinical results of an arthroscopic glenoid rim reconstruction technique for recurrent anterior shoulder instability

Authors: Benjamin Bockmann, Arne Johannes Venjakob, Frank Reichwein, Marthe Hagenacker, Wolfgang Nebelung

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2018

Abstract

Introduction

Glenoid bone loss in recurrent anterior instability of the shoulder needs to be addressed to restore joint stability. Over the last years, several arthroscopic methods have been described to treat this condition. However, no clinical mid-term results have been presented for arthroscopic iliac crest bone grafting procedures.

Methods

We included 32 patients with significant glenoid bone loss and repetitive dislocations of the shoulder who were treated in our shoulder unit with a previously described all-arthroscopic reconstruction technique. All patients filled out a questionnaire evaluating repetitive dislocations, consumption of pain medicine, Constant Score (CS, adapted to age and gender), activities of daily living (ADL), visual analogue scale for pain (VAS) as well as the Western Ontario Shoulder Instability Index (WOSI). Additionally, all complications were recorded.

Results

After a mean follow-up of 42 months, three traumatic dislocations had been observed. With an ADL of 25 points (95% CI 24–27), a WOSI of 71% (95% CI 65–76) and CS of 87 points (95% CI 82–92), our patients showed good functional results. The VAS result for pain was 2.1 (95% CI 1.5–2.6). No patient reported the regular usage of pain medicine related to the shoulder instability at final follow-up.

Conclusion

The all-arthroscopic glenoid reconstruction using iliac crest grafts shows good functional results with a recurrence rate of 9%. At final follow-up 42 months after surgery, our patients showed low pain levels and acceptable complications.

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Title: Mid-term clinical results of an arthroscopic glenoid rim reconstruction technique for recurrent anterior shoulder instability
Authors: Benjamin Bockmann
Arne Johannes Venjakob
Frank Reichwein
Marthe Hagenacker
Wolfgang Nebelung
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-2964-3

At a glance: The STEP trials

Springer Medicine

Mid-term clinical results of an arthroscopic glenoid rim reconstruction technique for recurrent anterior shoulder instability

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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