Open vs. arthroscopic repair after anterior shoulder instability with disease-specific QOL .
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A randomized clinical trial comparing open and arthroscopic stabilization for recurrent traumatic anterior shoulder instability: two-year follow-up with disease-specific quality-of-life outcomes
J Bone Joint Surg Am. 2014 Mar 5;96(5):353-60196 patients with recurrent traumatic anterior shoulder instability were randomized to undergo open or arthroscopic repair to compare differences in disease-specific quality of life and recurrent instability over a period of two years. The results from this trial indicate that both procedures provided a significant improvement in disease-specific quality of life, with not differences between groups. However, open repair resulted in fewer cases of recurrent instability, especially in patients identified with a Hill-Sachs lesion, an observation that warrants further research.
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