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Speaker: Most patients with instability do not have additional surgery after Bankart repair
HOLLYWOOD, Fla. — Despite glenohumeral instability recurrence after Bankart repair, most patients do not undergo additional fixation procedures, according to a study presented at the Arthroscopy Association of North America Annual Meeting, here.
Stephen C. Weber, MD, presented results of a retrospective study of 122 patients who had instability repairs by a single surgeon from 1995 to 2003. Overall, the researchers were able to contact 84% of patients by telephone to gathered outcome scores, which included the Simple Shoulder Test, UCLA Shoulder Rating Scale, Rowe Score for Instability, and the American Shoulder and Elbow Surgeons, activity levels and perception of shoulder function.
Results indicate that 28% of patients had recurrent instability, with a third of recurrences happening in the first 2 years after repair.
“One-third of all recurrences occurred outside of 2-year follow-up, so you really can’t look at 2-year follow-up data here,” Weber said.
Weber said that 65% of patients requested no additional surgery despite the recurrence episodes, and there was a 76% 5-year survivorship. Standard outcome scores were generally positive, he said, although Weber noted shoulder scores could be improved, and instability recurrence rates were directly correlated with patient activity levels. – by Christian Ingram
Reference:
Weber SC. Paper #SS-06. Presented at: Arthroscopy Association of North America Annual Meeting; May 1-3, 2014; Hollywood, Fla.
Disclosure: Weber has no relevant financial disclosures.