title: Arthroscopic transglenoid suture capsulolabral repair. Five-year followup.
abstract: The preliminary results of our arthroscopic transglenoid suture capsulolabral repair demonstrated a failure rate of only 10%, with no postoperative dislocations. The purpose of this study was to reevaluate a patient population with a 5-year minimum followup similar to the one previously reported with a 2-year followup. We performed a retrospective analysis of 38 shoulders in 37 consecutive patients who underwent arthroscopic transglenoid suture capsulolabral repair between January 1989 and June 1990. Thirty shoulders in 29 patients were available for followup. The patient population for the current study consisted of 19 men and 10 women. The patients' ages at the time of surgery ranged from 14 to 44, with an average of 24.7 years. Thirteen patients were evaluated in the office and 16 by telephone. The current followup demonstrated a redislocation rate of 17% (5 shoulders). Twenty-seven percent of the patients (N = 8) required a second open stabilization procedure. Only 40% of shoulders (N = 12) had no episodes of instability at this extended followup. Higher failure rates were noted in patients with generalized ligamentous laxity or an absent labrum at the time of surgery and in those participating in contact sports.
authors.affiliation: Arlington Hospital, Virginia, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Manta
authors.forename: S
authors.initials: S
authors.lastname: Organ
authors.forename: R P
authors.initials: RP
authors.lastname: Nirschl
authors.forename: F A
authors.initials: FA
authors.lastname: Pettrone
mesh_terms: D000293:Adolescent; D000328:Adult; D001178:Arthroplasty; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008485:Medical Audit; D011183:Postoperative Complications; D012189:Retrospective Studies; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery; D016896:Treatment Outcome