Comparative study to evaluate open versus arthroscopic surgical management for recurrent anterior instability of the shoulder

Abstract

Abstract

Background: Shoulder instability is used to refer to the inability to maintain the humeral head in the glenoid fossa. The ligamentous and muscle structures around the glenohumeral joint, under non-pathological conditions, create a balanced net joint reaction force. The purpose of this study is to perform a both techniques are compared in the repair of the anterior shoulder instability without bone loss. Material and Methods: This is a Prospective, open-label and comparative study conducted at Department of Orthopaedics, Subbaiah Institute of Medical Sciences between August 2019 to July 2020. They were divided into two groups according to the surgical treatment: Group A: Patients were treated with either open surgery using suture anchors and capsular shift. Group B: Arthroscopic surgery with suture anchors and suture capsulorrhaphy. Result: In our study time of surgery was significantly longer in the arthroscopic surgery group than the open surgery group (P < 0.05). Intraoperative blood loss was significantly more in the open surgery group than the arthroscopic surgery group (P < 0.0001) and total time of hospital stay was significantly more in the open surgery than the arthroscopic surgery group (P < 0.05). Total 3 patients were seen in open surgery, complications such as wound infection and nerve injury.Conclusion:  Open surgery is more invasive than the arthroscopic surgery, Arthroscopic approaches resulted in better function as reflected by the Rowe scores in the study. But open surgery should be considered for some patient’s due to the superior outcomes of long term stability of the shoulder joint.