European Journal of Cardiovascular Medicine

Background:  The shoulder is a ball and socket joint made up of the humeral head (ball) from the upper arm, and the glenoid (socket) from the shoulder blade (scapula). Dislocation occurs when the ball is wrenched out of its socket. The force required Present study was done to compare the effectiveness i.e. range of motion and incidence of failure rates, recurrence and pain of arthroscopic repair versus open surgical techniques for the management of recurrent anterior shoulder instability. Materials and methods: This is a prospective and comparative study was conducted in the Department of Orthopedics at Surabhi Instittute of Medical Sciences among 70 patients. Inclusion criteria were patient with soft tissue Bankart’s lesion, bony Bankart’s lesion, humeral avulsion of glenohumeral ligament (HAGL), anterior labral posterior sleeve avulsion (ALPSA), glenoidlabrum and articular disruption and capsular stretch and injury. Patients having associated rotator cuff tear, habitual dislocators, and high-risk groups (bone loss, contact athletes) were excluded. 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. VAS pain scores after the surgery was significantly higher in the open surgery group than the arthroscopic surgery group (P > 0.05). Conclusion: The available evidence does not show a statistically significant difference in outcome measures between arthroscopic and open repair for the treatment of recurrent anterior shoulder instability. Given the similar results between the 2 groups, differences in length of hospital stay and cost to the patient and society point to arthroscopic repair as the more judicious treatment approach.