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Adolescent athletes experienced high failure rates after revision anterior shoulder stabilization
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Adolescent athletes who underwent revision anterior shoulder stabilization surgery experienced high failure rates and modest functional outcomes, according to study results.
Researchers reviewed 90 adolescent athletes who underwent primary anterior shoulder stabilization and identified patients undergoing subsequent revision stabilization surgery. Kaplan-Meier analysis was used to assess failure rates after revision surgery, which was defined as recurrent instability requiring reoperation. Functional outcomes included the Marx activity score, American Shoulder and Elbow Surgeons score, and University of California, Los Angeles score.
To identify potential risk factors for failure, the researchers compared the characteristics of patients who required reoperation for recurrent instability after revision surgery with patients who required only a single revision.
Study results showed 17% of the 90 patients had failure and underwent revision surgery. At a mean of 50 months after initial revision, 33% of patients had recurrent dislocations and required repeat revision stabilization surgery.
The researchers found no risk factors for failure, and Kaplan-Meier reoperation-free estimates were 86% at 24 months and 78% at 48 months after revision surgery.
According to study results, mean final Marx activity score was 14.8; American Shoulder and Elbow surgeons score was 82.1; and University of California, Los Angeles score was 30.8.
Disclosure: The authors have no relevant financial disclosures.
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