Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability
Purpose The purpose of the study was to present midterm results concerning the management of recurrent anterior shoulder instability with the remplissage technique in addition to the classic Bankart repair, in patients with engaging Hill–Sachs lesions. Methods During a time period of 4 years (Januar...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-02, Vol.24 (2), p.593-600 |
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| creator | Brilakis, Emmanouil Mataragas, Elias Deligeorgis, Anastasios Maniatis, Vasilios Antonogiannakis, Emmanouil |
| description | Purpose
The purpose of the study was to present midterm results concerning the management of recurrent anterior shoulder instability with the remplissage technique in addition to the classic Bankart repair, in patients with engaging Hill–Sachs lesions.
Methods
During a time period of 4 years (January 2007–December 2010), 48 patients with an average age of 28.9 ± 7.8 years were operated on in our department. They all had a positive apprehension sign pre-operatively and satisfied the inclusion criteria of this study. Seventy-nine per cent of these patients were involved in sport activities of different levels. The mean follow-up period was 37.2 ± 9.9 months.
Results
Three patients (6.3 %) had suffered a new dislocation: one of them after a low-energy trauma and the two other after a high-energy trauma. The rest of the patients (93.7 %) were satisfied with the surgical result and returned to their previous everyday activities while 70.8 % continued to participate in sporting activities without restrictions. The ASES score increased from 67.7 ± 21.5 points pre-operatively to 90.8 ± 21.7 points post-operatively (
p
|
| doi_str_mv | 10.1007/s00167-014-2848-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1768575112</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3941664941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-7e9f633317647c389e9a74262aff110eb0065b275b841674f3fe1174e13214413</originalsourceid><addsrcrecordid>eNqNkU1PxCAQhonR6Lr6A7yYJl68VBmgpT0a41ei8aJnQruDy6YtK9CD_17qqjEmJp5gwsMzDC8hR0DPgFJ5HiiFUuYURM4qUeWwRWYgOM8lF3KbzGgtWM5oUe6R_RBWlKatqHfJHhOiqhiDGVk92EVE32dujK3rMWTOZNrHpXehdWvbZh77dWdD0C-YGeezuMSs10MqexzihHtsR--nQg_JZRMUlm7sFugzO4SoG9vZ-HZAdozuAh5-rnPyfH31dHmb3z_e3F1e3OetkEXMJdam5JyDLIVseVVjraVgJdPGAFBsKC2LhsmiqUSaXhhuEEAKBM5ACOBzcrrxrr17HTFE1dvQYtfpAd0YVBJXhSwA2H9QVpdQ0cl68gtdudEPaZAPKj1YQp0o2FBt-r_g0ai1t732bwqomjJTm8xUykxNmanJfPxpHpseF983vkJKANsAIR0NL-h_tP7T-g4CtaD2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1762333719</pqid></control><display><type>article</type><title>Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability</title><source>MEDLINE</source><source>Wiley Online Library</source><source>Springer Journals</source><creator>Brilakis, Emmanouil ; Mataragas, Elias ; Deligeorgis, Anastasios ; Maniatis, Vasilios ; Antonogiannakis, Emmanouil</creator><creatorcontrib>Brilakis, Emmanouil ; Mataragas, Elias ; Deligeorgis, Anastasios ; Maniatis, Vasilios ; Antonogiannakis, Emmanouil</creatorcontrib><description>Purpose
The purpose of the study was to present midterm results concerning the management of recurrent anterior shoulder instability with the remplissage technique in addition to the classic Bankart repair, in patients with engaging Hill–Sachs lesions.
Methods
During a time period of 4 years (January 2007–December 2010), 48 patients with an average age of 28.9 ± 7.8 years were operated on in our department. They all had a positive apprehension sign pre-operatively and satisfied the inclusion criteria of this study. Seventy-nine per cent of these patients were involved in sport activities of different levels. The mean follow-up period was 37.2 ± 9.9 months.
Results
Three patients (6.3 %) had suffered a new dislocation: one of them after a low-energy trauma and the two other after a high-energy trauma. The rest of the patients (93.7 %) were satisfied with the surgical result and returned to their previous everyday activities while 70.8 % continued to participate in sporting activities without restrictions. The ASES score increased from 67.7 ± 21.5 points pre-operatively to 90.8 ± 21.7 points post-operatively (
p
< 0.01), the modified Rowe score from 38 ± 17.3 to 93.8 ± 14.5 (
p
< 0.001) and the Oxford Instability score from 27.6 ± 11.1 to 45.1 ± 8.3 (
p
< 0.001). No significant restriction in shoulder range of motion was documented.
Conclusions
The outcome of the enhancement of the classic Bankart repair with tenodesis of the infraspinatus and posterior capsular plication is very good as far as the management of recurrent anterior shoulder instability is concerned, without significantly influencing the range of motion of the shoulder.
Level of evidence
Therapeutic study—case series with no comparison group, Level IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-014-2848-1</identifier><identifier>PMID: 24488221</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arthroscopy ; Female ; Follow-Up Studies ; Humans ; Joint Capsule - surgery ; Joint Instability - surgery ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Range of motion ; Recurrence ; Retrospective Studies ; Shoulder ; Shoulder Dislocation - surgery ; Shoulder Joint - surgery ; Tendon Transfer ; Tendons - surgery ; Tenodesis ; Trauma ; Treatment Outcome ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-02, Vol.24 (2), p.593-600</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-7e9f633317647c389e9a74262aff110eb0065b275b841674f3fe1174e13214413</citedby><cites>FETCH-LOGICAL-c475t-7e9f633317647c389e9a74262aff110eb0065b275b841674f3fe1174e13214413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-014-2848-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-014-2848-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24488221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brilakis, Emmanouil</creatorcontrib><creatorcontrib>Mataragas, Elias</creatorcontrib><creatorcontrib>Deligeorgis, Anastasios</creatorcontrib><creatorcontrib>Maniatis, Vasilios</creatorcontrib><creatorcontrib>Antonogiannakis, Emmanouil</creatorcontrib><title>Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of the study was to present midterm results concerning the management of recurrent anterior shoulder instability with the remplissage technique in addition to the classic Bankart repair, in patients with engaging Hill–Sachs lesions.
Methods
During a time period of 4 years (January 2007–December 2010), 48 patients with an average age of 28.9 ± 7.8 years were operated on in our department. They all had a positive apprehension sign pre-operatively and satisfied the inclusion criteria of this study. Seventy-nine per cent of these patients were involved in sport activities of different levels. The mean follow-up period was 37.2 ± 9.9 months.
Results
Three patients (6.3 %) had suffered a new dislocation: one of them after a low-energy trauma and the two other after a high-energy trauma. The rest of the patients (93.7 %) were satisfied with the surgical result and returned to their previous everyday activities while 70.8 % continued to participate in sporting activities without restrictions. The ASES score increased from 67.7 ± 21.5 points pre-operatively to 90.8 ± 21.7 points post-operatively (
p
< 0.01), the modified Rowe score from 38 ± 17.3 to 93.8 ± 14.5 (
p
< 0.001) and the Oxford Instability score from 27.6 ± 11.1 to 45.1 ± 8.3 (
p
< 0.001). No significant restriction in shoulder range of motion was documented.
Conclusions
The outcome of the enhancement of the classic Bankart repair with tenodesis of the infraspinatus and posterior capsular plication is very good as far as the management of recurrent anterior shoulder instability is concerned, without significantly influencing the range of motion of the shoulder.
Level of evidence
Therapeutic study—case series with no comparison group, Level IV.</description><subject>Adult</subject><subject>Arthroscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint Capsule - surgery</subject><subject>Joint Instability - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Range of motion</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Shoulder</subject><subject>Shoulder Dislocation - surgery</subject><subject>Shoulder Joint - surgery</subject><subject>Tendon Transfer</subject><subject>Tendons - surgery</subject><subject>Tenodesis</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU1PxCAQhonR6Lr6A7yYJl68VBmgpT0a41ei8aJnQruDy6YtK9CD_17qqjEmJp5gwsMzDC8hR0DPgFJ5HiiFUuYURM4qUeWwRWYgOM8lF3KbzGgtWM5oUe6R_RBWlKatqHfJHhOiqhiDGVk92EVE32dujK3rMWTOZNrHpXehdWvbZh77dWdD0C-YGeezuMSs10MqexzihHtsR--nQg_JZRMUlm7sFugzO4SoG9vZ-HZAdozuAh5-rnPyfH31dHmb3z_e3F1e3OetkEXMJdam5JyDLIVseVVjraVgJdPGAFBsKC2LhsmiqUSaXhhuEEAKBM5ACOBzcrrxrr17HTFE1dvQYtfpAd0YVBJXhSwA2H9QVpdQ0cl68gtdudEPaZAPKj1YQp0o2FBt-r_g0ai1t732bwqomjJTm8xUykxNmanJfPxpHpseF983vkJKANsAIR0NL-h_tP7T-g4CtaD2</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Brilakis, Emmanouil</creator><creator>Mataragas, Elias</creator><creator>Deligeorgis, Anastasios</creator><creator>Maniatis, Vasilios</creator><creator>Antonogiannakis, Emmanouil</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability</title><author>Brilakis, Emmanouil ; Mataragas, Elias ; Deligeorgis, Anastasios ; Maniatis, Vasilios ; Antonogiannakis, Emmanouil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-7e9f633317647c389e9a74262aff110eb0065b275b841674f3fe1174e13214413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Arthroscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint Capsule - surgery</topic><topic>Joint Instability - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Range of motion</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Shoulder</topic><topic>Shoulder Dislocation - surgery</topic><topic>Shoulder Joint - surgery</topic><topic>Tendon Transfer</topic><topic>Tendons - surgery</topic><topic>Tenodesis</topic><topic>Trauma</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brilakis, Emmanouil</creatorcontrib><creatorcontrib>Mataragas, Elias</creatorcontrib><creatorcontrib>Deligeorgis, Anastasios</creatorcontrib><creatorcontrib>Maniatis, Vasilios</creatorcontrib><creatorcontrib>Antonogiannakis, Emmanouil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brilakis, Emmanouil</au><au>Mataragas, Elias</au><au>Deligeorgis, Anastasios</au><au>Maniatis, Vasilios</au><au>Antonogiannakis, Emmanouil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>24</volume><issue>2</issue><spage>593</spage><epage>600</epage><pages>593-600</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of the study was to present midterm results concerning the management of recurrent anterior shoulder instability with the remplissage technique in addition to the classic Bankart repair, in patients with engaging Hill–Sachs lesions.
Methods
During a time period of 4 years (January 2007–December 2010), 48 patients with an average age of 28.9 ± 7.8 years were operated on in our department. They all had a positive apprehension sign pre-operatively and satisfied the inclusion criteria of this study. Seventy-nine per cent of these patients were involved in sport activities of different levels. The mean follow-up period was 37.2 ± 9.9 months.
Results
Three patients (6.3 %) had suffered a new dislocation: one of them after a low-energy trauma and the two other after a high-energy trauma. The rest of the patients (93.7 %) were satisfied with the surgical result and returned to their previous everyday activities while 70.8 % continued to participate in sporting activities without restrictions. The ASES score increased from 67.7 ± 21.5 points pre-operatively to 90.8 ± 21.7 points post-operatively (
p
< 0.01), the modified Rowe score from 38 ± 17.3 to 93.8 ± 14.5 (
p
< 0.001) and the Oxford Instability score from 27.6 ± 11.1 to 45.1 ± 8.3 (
p
< 0.001). No significant restriction in shoulder range of motion was documented.
Conclusions
The outcome of the enhancement of the classic Bankart repair with tenodesis of the infraspinatus and posterior capsular plication is very good as far as the management of recurrent anterior shoulder instability is concerned, without significantly influencing the range of motion of the shoulder.
Level of evidence
Therapeutic study—case series with no comparison group, Level IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24488221</pmid><doi>10.1007/s00167-014-2848-1</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-02, Vol.24 (2), p.593-600 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1768575112 |
| source | MEDLINE; Wiley Online Library; Springer Journals |
| subjects | Adult Arthroscopy Female Follow-Up Studies Humans Joint Capsule - surgery Joint Instability - surgery Male Medicine Medicine & Public Health Orthopedics Range of motion Recurrence Retrospective Studies Shoulder Shoulder Dislocation - surgery Shoulder Joint - surgery Tendon Transfer Tendons - surgery Tenodesis Trauma Treatment Outcome Young Adult |
| title | Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability |
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