Absorbable implants for open shoulder stabilization. A 7-8-year clinical and radiographic follow-up

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MARC

Magnusson, Lennart,1959Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences (author)

Absorbable implants for open shoulder stabilization. A 7-8-year clinical and radiographic follow-up

Article/chapterEnglish2006

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2006

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LIBRIS-ID:oai:gup.ub.gu.se/44018
https://gup.ub.gu.se/publication/44018URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Eighteen consecutive patients who had recurrent, unidirectional, post-traumatic shoulder instability were included. All these patients underwent surgery using an open Bankart technique involving absorbable suture anchors. The median age at the index operation was 27 (16-50) years. One subluxation and two re-dislocations occurred during the follow-up period of 90 (80-95) months. At the 90-month control, the Rowe and Constant scores were 94 (63-100) points and 88.5 (65-100) points, respectively. The strength measurements on the index side in 90 degrees abduction revealed 8.1 (3.7-17.2) kg compared with 7.6 (2.7-17.6) kg on the contra lateral side (n.s.). The external rotation in abduction was 80 (60-95) degrees compared with 100 (70-120) degrees for the contra lateral side (p = 0.0015). Signs of minor or moderate degeneration were found in five of 18 patients (28%) on the preoperative radiographs. There was a significant continuous increase in degenerative changes during the follow-up period as seen on the seven, 33 and 90-month radiographs (p = 0.01, 0.03 and 0.01, respectively). On the 90-month radiographs, 12 of 18 patients (67%) had minor, moderate or severe degenerative changes (p = 0.0004 preoperative vs. 90 months). On the 7-month radiographs, two of 18 patients (11%) had invisible or hardly visible drill holes in conjunction with the absorbable implants. On the 90-month radiographs, 12 of 18 patients (67%) had invisible or hardly visible drill holes (p = 0.003 7 months vs. 90 months). In the long term, the method resulted in stable, well-functioning shoulders in 15 of 18 patients (83%). The stabilisation was not, however, able to prevent further increases in radiographic degenerative changes during the 7-8-year follow-up. The drill holes used for the absorbable suture anchors appeared to heal in the majority of patients during the follow-up period.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
*Absorbable Implants
Adolescent
Adult
Female
Follow-Up Studies
Humans
Joint Instability/*surgery
Male
Middle Aged
Polymers
Postoperative Complications/radiography
Range of Motion
Articular
Sclerosis/etiology/radiography
Shoulder Dislocation/etiology/radiography
Shoulder Joint/injuries/*pathology/*surgery
Suture Techniques/*instrumentation

Added entries (persons, corporate bodies, meetings, titles ...)

Ejerhed, L. (author)
Rostgard, L. (author)
Sernert, Ninni,1954Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences(Swepub:gu)xserni (author)
Kartus, Jüri,1955Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences(Swepub:gu)xkarju (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper (creator_code:org_t)

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