Open versus arthroscopic surgical treatment for anterior shoulder dislocation: a comparative systematic review and meta-analysis over the past 20 years

被引:45
作者
Hohmann, Erik [1 ,2 ]
Tetsworth, Kevin [3 ,4 ,5 ,6 ]
Glatt, Vaida [7 ]
机构
[1] Univ Queensland, Clin Med Sch, Dept Orthopaed Surg, Brisbane, Qld, Australia
[2] Univ Pretoria, Sch Med, Fac Fac Hlth Sci, Pretoria, South Africa
[3] Royal Brisbane Hosp, Dept Orthopaed Surg, Herston, Qld, Australia
[4] Univ Queensland, Sch Med, Dept Surg, Brisbane, Qld, Australia
[5] Queensland Univ Technol, Brisbane, Qld, Australia
[6] Orthopaed Res Inst Australia, Sydney, NSW, Australia
[7] Univ Texas Hlth Sci Ctr San Antonio, Dept Orthoped Surg, San Antonio, TX 78229 USA
关键词
Anterior shoulder dislocation; open Bankart repair; arthroscopic stabilization; suture anchors; meta-analysis; systematic review; OPEN BANKART REPAIR; LONG-TERM OUTCOMES; RECURRENT INSTABILITY; TRANSGLENOID SUTURES; FOLLOW-UP; STABILIZATION; LESIONS;
D O I
10.1016/j.jse.2017.04.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background:: The purpose of this study was to perform a meta-analysis comparing open and arthroscopic surgery for the treatment of anterior shoulder instability by analyzing comparative studies during 2 different time intervals during the last 20 years. Methods: We conducted a systematic review of MEDLINE, Embase, Scopus, and Google Scholar. Two groups were created by dividing studies according to the year of publication, those published from 1995 to 2004 or from 2005 to 2015. Publication bias and risk of bias were assessed using the Cochrane Collaboration's tools. Heterogeneity was assessed using the I2 statistics. Results: A total of 22 studies (n = 1633) met the eligibility criteria. Comparison of the pooled estimate for all of these studies demonstrated no significant differences (P =.64) in clinical outcomes between open and arthroscopic shoulder stabilization. However, studies published from 1995 through 2004 demonstrated significant differences (P =.015) in recurrence rates favoring open surgery. In contrast, no significant differences (P =.09) in recurrence rates were observed for studies published from 2005 through 2015. The pooled estimate for all studies in both groups demonstrated significant differences (P =.001) in external rotation deficits between open and arthroscopic shoulder stabilization favoring arthroscopic surgery. Conclusion: Despite advances in surgical techniques and devices during the last 20 years, either open or arthroscopic surgical treatment of anterior shoulder dislocation results in similar clinical outcomes. The recurrence rate for arthroscopic surgical stabilization has only marginally decreased, from 16.8% to 14.2%. However, during the earlier decade from 1995 through 2004, patients treated with arthroscopic surgery had twice the risk of recurrence compared with an open procedure. (C) 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
引用
收藏
页码:1873 / 1880
页数:8
相关论文
共 51 条
[1]   ARTHROSCOPIC BANKART REPAIR VERSUS NONOPERATIVE TREATMENT FOR ACUTE, INITIAL ANTERIOR SHOULDER DISLOCATIONS [J].
ARCIERO, RA ;
WHEELER, JH ;
RYAN, JB ;
MCBRIDE, JT .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1994, 22 (05) :589-594
[2]  
Bedi Asheesh, 2009, Instr Course Lect, V58, P293
[3]   Arthroscopic versus open shoulder stabilization for recurrent anterior instability - A prospective randomized clinical trial [J].
Bottoni, Craig R. ;
Smith, Eric L. ;
Berkowitz, Mark J. ;
Towle, Robert B. ;
Moore, Josef H. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2006, 34 (11) :1730-1737
[4]   The Treatment of Traumatic Anterior Instability of the Shoulder: Nonoperative and Surgical Treatment [J].
Brophy, Robert H. ;
Marx, Robert G. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (03) :298-304
[5]   The Levels of Evidence and Their Role in Evidence-Based Medicine [J].
Burns, Patricia B. ;
Rohrich, Rod J. ;
Chung, Kevin C. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 128 (01) :305-310
[6]   Do Arthroscopic and Open Stabilization Techniques Restore Equivalent Stability to the Shoulder in the Setting of Anterior Glenohumeral Instability? A Systematic Review of Overlapping Meta-analyses [J].
Chalmers, Peter N. ;
Mascarenhas, Randy ;
Leroux, Timothy ;
Sayegh, Eli T. ;
Verma, Nikhil N. ;
Cole, Brian J. ;
Romeo, Anthony A. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2015, 31 (02) :355-363
[7]   Comparison of arthroscopic and open anterior shoulder stabilization - A two to six-year follow-up study [J].
Cole, BJ ;
L'Insalata, J ;
Irrgang, J ;
Warner, JJP .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (08) :1108-1114
[8]   Complications of Bioabsorbable Suture Anchors in the Shoulder [J].
Dhawan, Aman ;
Ghodadra, Neil ;
Karas, Vasili ;
Salata, Michael J. ;
Cole, Brian J. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2012, 40 (06) :1424-1430
[9]   Arthroscopic versus open treatment of Bankart lesion of the shoulder: A prospective randomized study [J].
Fabbriciani, C ;
Milano, G ;
Demontis, A ;
Fadda, S ;
Ziranu, F ;
Mulas, PD .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2004, 20 (05) :456-462
[10]   Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorbable tacks for recurrent anterior instability of the shoulder - A meta-analysis [J].
Freedman, KB ;
Smith, AP ;
Romeo, AA ;
Cole, BJ ;
Bach, BR .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2004, 32 (06) :1520-1527