title: Comparison of outcomes of two different surgeries in regarding to complications for chronic anterior shoulder instability.
abstract: BACKGROUND
  The purpose of this study is to compare the early clinical results of two techniques in regarding to complications in the patients who suffered from chronic anterior traumatic isolated shoulder instability.
  
  
  METHODS
  Eighty-five patients underwent reconstructive procedures due to chronic isolated traumatic shoulder instability in our clinic between 1990 and 2002. Sixty-four patients in whom preoperatively Bankart lesion were detected with MRI and who participated in the regular follow-up were included in the study. Thirty-four patients were treated with Bankart repair (Group I) and 30 patients were treated with Modified Bristow procedure (Group II). Mean follow-up period was 25 (24-39) months for group I and 28 (24-96) months for group II. All cases were evaluated preoperatively and postoperatively according to Rowe scoring system.
  
  
  RESULTS
  Mean Rowe scores were 90 and 88.1 for group I and II, respectively. Due to recurrent dislocation, four revision surgeries (one in group I, three in group II) were performed. Surgical complications were encountered in group II, just as fracture at the bone block in four cases, nonunion in five cases and removal of loose screw in one case.
  
  
  CONCLUSIONS
  According to clinical outcomes, both the techniques are useful and feasible for the treatment of the chronic traumatic isolated anterior shoulder instability; however, complication rate is higher in the Modified Bristow technique and, Bankart repair is directed to the anatomic repair of the original pathology.
authors.affiliation: Department of Orthopedics and Traumatology, GATA Haydarpasa Training Hospital, Travmatoloji Klinigi Uskudar, 34668 Istanbul, Turkey, mahirogullari@yahoo.com
authors.forename: Mahir
authors.initials: M
authors.lastname: Mahirogullari
authors.forename: Mesih
authors.initials: M
authors.lastname: Kuskucu
authors.forename: Can
authors.initials: C
authors.lastname: Solakoglu
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Akmaz
authors.forename: Ozcan
authors.initials: O
authors.lastname: Pehlivan
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kiral
authors.forename: Haluk
authors.initials: H
authors.lastname: Kaplan
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome