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Revision Arthroscop...
Revision Arthroscopic Bankart Repair Results in High Failure Rates and a Low Return to Duty Rate Without Recurrent Instability
- Article/chapterEnglish2023
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LIBRIS-ID:oai:gup.ub.gu.se/335575
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https://gup.ub.gu.se/publication/335575URI
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https://doi.org/10.1016/j.arthro.2022.08.044DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Purpose: The purpose of this study was to determine, in a military population without critical bone loss, the rate of recurrent instability after revision arthroscopic stabilization for failed primary arthroscopic Bankart repair. Methods: Fortyone revision arthroscopic stabilizations were performed at a single military institution between 2005 to 2016 for recurrent anterior shoulder instability after primary arthroscopic Bankart repair. Minimum follow-up was 2 years, and shoulders with glenoid bone loss >20% were excluded. The primary outcome of interest was the incidence of failure, defined by recurrent instability. Results: Age at revision surgery averaged 22.9 +/- 4.3 years, and 88% were either service academy cadets or active duty combat arms soldiers. Mean follow-up was 7.8 years. Twenty-three patients (56%) returned to duty without recurrent instability after revision arthroscopic stabilization. Eighteen patients (44%) experienced recurrent instability after return to duty. Glenoid bone loss averaged 6.2% (95% confidence interval [CI], 3.2%-9.2%) in the successful group and 5.7% (95% CI, 3.1%-8.3%) in the failure group (P = .808). Conclusions: Revision arthroscopic stabilization of failed primary arthroscopic Bankart repair has a failure rate of 44% in a young military population. The similar amounts of bone loss between groups indicates that bone loss is not the primary determinant of failure in revision arthroscopic stabilization.
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Donohue, Michael A.
(author)
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Tardif, Robert A.
(author)
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Foley, Kevin A.
(author)
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Leclere, Lance E.
(author)
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Cameron, Kenneth L.
(author)
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Giuliani, Jeffrey R.
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Posner, Matthew A.
(author)
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Dickens, JonathanGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xdicjo
(author)
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Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi
(creator_code:org_t)
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In:ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY: Elsevier BV39:4, s. 913-9180749-80631526-3231
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