Arthroscopic vs. Open Shoulder Stabilization with 15 Year Follow-up .
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Arthroscopic Versus Open Anterior Shoulder Stabilization: A Prospective Randomized Clinical Trial With 15-Year Follow-up With an Assessment of the Glenoid Being "On-Track" and "Off-Track" as a Predictor of Failure.
Am J Sports Med . 2021 Jul;49(8):1999-2005.A series of 60 patients with recurrent anterior should instability were randomized to receive either arthroscopic (n=28) or open (n=32) stabilization and were available at 15 year follow-up. The primary outcome of interest was clinical failure defined as recurrent dislocation or subjective instability. Secondary outcomes of interest were the Single Assessment Numeric Evaluation (SANE), the Simple Shoulder Test (SST), the UCLA score and evaluation of the glenoid track. At 15 year follow-up, there was no difference in clinical failure between the groups. Similarly, there was no difference in the SANE, SST or UCLA scores at final follow-up. The presence of an off-track glenoid lesion was associated with higher rates of failure but was similar between groups.
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