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[Arthroscopic anterior shoulder stabilization combined with laser-assisted capsular shrinkage (LACS) compared to
M Bohnsack1, O Rühmann, C Börner
1Orthopädische Klinik der Medizinischen Hochschule Hannover, Klinik II im Annastift Hannover. bohnsack@annastift.de
Introduction:
Does additional laser assisted capsular shrinkage (LACS) help to reduce the recurrence rate in arthroscopic anterior shoulder stabilization?
Methods:
In a prospective study from 7/97 to 4/99 at 22 nonselected patients a combined Caspari + LACS-technique was performed. We could follow-up 152 (80%) of a total 191 anterior shoulder stabilizations between 4/88 and 4/99 (124 male, 28 female, average age 33 years) (80(52%) Bankart, 30(20%) Du Toit/Roux, 20(13%) Caspari, 22(15%) Caspari + -LACS.
Results:
The rate of dislocation was 7% (11/152) for all patients (Bankart 5% 4/80), Du Toit/Roux 4% (1/30), Caspari 25%(5/20), Caspari + LACS 5%(1/22)). Using the score of Rowe et al. [34] 113 patients (75%) rated excellent or good (Bankart 77%, Du Toit/Roux 83%, Caspari 60%, Caspari + LACS 86%).
Conclusions:
An additional laser capsular shrinkage helps to reduce the high rates of dislocation in arthroscopic anterior shoulder stabilization with results similar to standard open procedures.