title: Arthroscopic management of anterior instability of the shoulder.
abstract: BACKGROUND
  The aim of all shoulder joint stabilization surgery is to prevent further dislocation and restore anatomical continuity of the capsule-labral complex to the anterior and inferior edge of the glenoid. In this study, the authors analyzed the results of arthroscopic stabilization techniques using the method of suture anchors in patients with recurrent anterior shoulder instability.
  
  
  METHODS
  During the reporting period they performed surgery on 91 patients with anterior shoulder instability using the method of MITEK GII suture anchors and BIO ANCHOR . The group consisted of 19 women and 72 men with a mean age of 28.6 years (range 16-70 years).
  
  
  RESULTS
  In the preoperative evaluation, the mean Rowe score was 37.1 (range 15-55). Postoperatively there was a significant increase (p < 0.000) in the score analysed using Rowe with a mean of 87.4 (range 45-100). When analyzing the results of operations, they evaluated the function as excellent in 65 patients (71.4 %) and 14 patients (15.4 %) were evaluated as good function. A satisfactory function was observed in 12 patients (13.2 %). For five patients, there was recurrence of instability of the shoulders.
  
  
  CONCLUSIONS
  Arthroscopic stabilization of post-traumatic shoulder instability using the suture anchor technique is the optimal solution for anterior shoulder instability. In conjunction with comprehensive treatment and subsequent rehabilitation an early return to the preoperative activities can be achieved with a reduction of residual restriction of shoulder movement.
authors.affiliation: Department of Orthopaedics, Faculty Hospital, Nové Zâmky, Slovak Republic.
authors.forename: Marek
authors.initials: M
authors.lastname: Ozorak
authors.affiliation: Univ department of Orthopaedics, Medical school, Comenius University, Children University Hospital, Bratislava, Slovak Republic.
authors.forename: Milan
authors.initials: M
authors.lastname: Kokavec
authors.affiliation: Univ department of orthopaedics and traumatology, Medical school, Comenius university, University Hospital, Bratislava, Slovak Republic.
authors.forename: Andrey
authors.initials: A
authors.lastname: Svec
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011044:Poland; D012008:Recurrence; D012785:Shoulder Joint / Q000601:surgery*; D013536:Suture Techniques; D055815:Young Adult