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Arthroscopic posterior bone block stabilization-early results of an effective procedure for the recurrent posterior
Mathias Wellmann1, Marc-Frederic Pastor1, Max Ettinger1
1Department of Orthopaedic Surgery, Medical School Hannover, Anna-von-Borries Straße 1-7, 30625, Hanover, Germany.
Purpose:
In the current study the clinical outcome of an arthroscopic posterior bone block augmentation in combination with a posterior capsular repair was investigated.
Methods:
Twenty-four shoulders (18 patients) with unidirectional posterior shoulder instability were treated with an arthroscopic posterior bone block and capsular reconstruction. The mean follow up period was 26 months. The patients were examined pre- and postoperatively using the Constant-Murley score, the Rowe score, Walch-Duplay score and Western Ontario Shoulder index.
Results:
At the follow up examination 21 shoulders were classified to be stable, while one patient reported a single redislocation and two further patients reported recurrent posterior subluxation or posterior apprehension. Thus, the recurrence rate was defined to be 12.5%. The Rowe-Score significantly improved from 50 points preoperatively to 75 points postoperatively (p = 0.0003). The WOSI-score significantly improved from 37% preoperatively to 66% postoperatively (p = 0.0001). Revision surgery commonly was required for screw removal.
Conclusion:
The early clinical results of this arthroscopic bone block augmentation and capsular repair are promising.
Level Of Evidence:
IV.