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Several patient factors increased risk of arthroscopic posterior capsulolabral reconstruction revision
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CHICAGO — Results presented at the Arthroscopy Association of North America Annual Meeting identified several patient factors that increased the risk of revision posterior capsulolabral reconstruction.
In their study of 297 patients who underwent arthroscopic posterior capsulolabral reconstruction, Justin W. Arner, MD, and colleagues found 6.4% underwent revision.
“The five risk factors that we found for requiring revision surgery of posterior capsular labral repair were female gender, dominant shoulder, having a rotator cuff injury, use of three or fewer anchors and decreased glenoid bone width,” Arner said in his presentation.
However, age, type of sport, contact vs. noncontact athletes, level of sport, repair type and glenoid version did not influence revision surgery, according to Arner.
Although Arner noted significant improvements with surgery from preoperative scores among both patients who did and did not undergo revision surgery, postoperative American Shoulder and Elbow Surgeons pain and stability scores were significantly worse among patients who underwent revision surgery. According to MRI results, patients who required revision surgery had a significantly smaller glenoid bone.
“Overall, there was no difference in return to play at the overall level but return to play at the same level was significantly worse in revision athletes at 15.4% compared to 64.3% in the non-revision group,” Arner said. – by Casey Tingle
Reference:
Arner JW, et al. Paper 1. Presented at: Arthroscopy Association of North America Annual Meeting; April 26-28, 2018; Chicago.
Disclosure: Arner reports no relevant financial disclosures.