[Arthroscopic anterior shoulder stabilization combined with laser-assisted capsular shrinkage (LACS) compared to other procedures].
BACKGROUND
Does additional laser assisted capsular shrinkage (LACS) help to reduce the recurrence rate in arthroscopic anterior shoulder stabilization?


METHODS
In a prospective study from 7/97 to 4/99 at 22 nonselected patients a combined Caspari + LACS-technique was performed. We could follow-up 152 (80%) of a total 191 anterior shoulder stabilizations between 4/88 and 4/99 (124 male, 28 female, average age 33 years) (80(52%) Bankart, 30(20%) Du Toit/Roux, 20(13%) Caspari, 22(15%) Caspari + -LACS.


RESULTS
The rate of dislocation was 7% (11/152) for all patients (Bankart 5% 4/80), Du Toit/Roux 4% (1/30), Caspari 25%(5/20), Caspari + LACS 5%(1/22)). Using the score of Rowe et al. [34] 113 patients (75%) rated excellent or good (Bankart 77%, Du Toit/Roux 83%, Caspari 60%, Caspari + LACS 86%).


CONCLUSIONS
An additional laser capsular shrinkage helps to reduce the high rates of dislocation in arthroscopic anterior shoulder stabilization with results similar to standard open procedures.
Bohnsack
M
M
Orthopädische Klinik der Medizinischen Hochschule Hannover, Klinik II im Annastift Hannover. bohnsack@annastift.de
Rühmann
O
O
Börner
C
C
Schmolke
S
S
Wirth
C J
CJ
D000328:Adult; D001182:Arthroscopy; D001265:Athletic Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017746:Joint Capsule / Q000601:surgery*; D053685:Laser Therapy; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D011446:Prospective Studies; D055502:Secondary Prevention; D012783:Shoulder Dislocation / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques
Die arthroskopische anteriore Schulterstabilisierung durch Kombination von laserassistiertem Kapsel-Shrinkage und Nahttechnik im Vergleich mit anderen Operationsverfahren.