Year: 2024 | Month: March | Volume: 11 | Issue: 3 | Pages: 427-435
DOI: https://doi.org/10.52403/ijrr.20240351
The Functional Outcome Between Arthroscopic and Open Surgery for Recurrent Anterior Shoulder Instability: A Systematic Review
I Putu Indra Yudha Masdika Putra1, A. A. Gede Yuda Asmara2
1Resident of Department of Orthopaedic and Traumatology Department, 2Consultant of Department of Orthopaedic and Traumatology,
Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
Corresponding Author: I Putu Indra Yudha Masdika Putra
ABSTRACT
Background: It remains unknown if arthroscopic repair of recurrent anterior shoulder instability is as effective as open repair. The aim of this study was to compare the functional outcome between arthroscopic and open repair for recurrent Anterior Shoulder Instability.
Methods: We searched the Cochrane Library, EMBASE, and PubMed extensively for studies comparing open versus arthroscopic repair for recurrent anterior shoulder dislocations until March 1, 2021. The PRISMA guidelines were utilised by two different researchers to assist them in selecting pertinent papers. Because there were few studies, there was no restriction on publication status, open and arthroscopic repair technique, or patient demographics.
Results: For recurrent anterior shoulder dislocations, five randomised controlled trials assessed the use of open repair against arthroscopic surgery. According to these investigations, there is no discernible difference between the two operational strategies. At present, there are no known long-term follow-up data that describe the outcomes of either surgical method. Every inquiry had flaws in the way it was designed, which reduced the reliability of the results.
Conclusion: There is insufficient data from randomised controlled trials to conclude that there is a statistically significant difference between the groups that underwent open repair and those that underwent arthroscopic surgery in terms of redislocation rates, return to activity, and functional outcomes. After arthroscopic surgery, range of motion is slightly better than after open repair. No recommendations regarding the best course of surgery can be given.
Keywords: recurrent anterior shoulder instability; open; arthroscopic; repair.
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