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Updated: Jul 13, 2026

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Revision arthroscopic shoulder instability repair.

R Alexander Creighton1, Anthony A Romeo, Fredrick M Brown

  • 1Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA. alex_creighton@med.unc.edu

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|July 20, 2007
PubMed
Summary

Revision arthroscopic stabilization surgery can achieve satisfactory outcomes for patients with failed traumatic instability repairs. This technique, involving labral fixation and plication, improved pain and shoulder function in a challenging patient group.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Surgery

Background:

  • Traumatic shoulder instability often requires surgical intervention.
  • Revision surgery is complex, particularly in patients with prior failed repairs.
  • Evaluating outcomes in difficult patient populations is crucial for refining surgical techniques.

Purpose of the Study:

  • To report on a challenging patient cohort undergoing revision arthroscopic stabilization.
  • To critically assess the efficacy of revision arthroscopic labral fixation and plication.

Main Methods:

  • Eighteen patients with failed traumatic instability repairs underwent revision arthroscopic surgery.
  • Procedures included labral fixation, plication, and rotator interval closure.
  • Clinical outcomes were evaluated using validated scoring systems and physical examination.

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Main Results:

  • 13 out of 18 patients reported satisfactory results after revision surgery.
  • Significant improvements were observed in pain scores, Simple Shoulder Test, and American Shoulder and Elbow Surgeons scores.
  • Five patients experienced clinical failure, with recurrent instability or persistent pain.

Conclusions:

  • Arthroscopic revision instability repair using suture anchors, plication, and rotator interval closure can yield good results in select patients.
  • This approach offers a viable option for managing complex shoulder instability cases.
  • Further research may explore long-term outcomes and patient selection criteria.