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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Open shoulder stabilization: current trends and 1-year postoperative complications
Tomasz J Kowalski1, Adam Z Khan2, Jeremiah R Cohen1
1Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
JSES Open Access
|January 25, 2019
Summary
Open shoulder stabilization procedures show shifting trends, with decreased Bankart repairs and increased coracoid transfers. Bone grafting had higher complication rates, especially in older patients, indicating a need for further comparative studies.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Surgical Outcomes Research
Background:
- Open shoulder stabilization remains crucial for complex instability cases.
- Complication rates associated with open stabilization procedures are not well-documented.
- This study analyzes trends and complications of open shoulder stabilization.
Purpose of the Study:
- To investigate current trends in open shoulder stabilization procedures.
- To characterize major postoperative complications following open shoulder stabilization.
- To compare complication rates across different open stabilization techniques and patient demographics.
Main Methods:
- Utilized PearlDiver national insurance database (2007-2010).
- Tracked trends for Bankart repair, coracoid transfer, and glenoid bone grafting using CPT codes.
- Identified and categorized 1-year postoperative complications; statistical analysis performed using chi-squared tests.
Main Results:
- 2678 open shoulder stabilization procedures were analyzed with a 12.3% overall 1-year complication rate.
- Relative use of open Bankart repair decreased, while coracoid transfers increased.
- Posterior glenoid bone grafting showed the highest complication rate (20.7%); older patients (>55 years) had the highest complication rate (25.9%).
Conclusions:
- Observed a significant decline in the relative use of open Bankart repair.
- Bone transfer procedures correlated with higher reoperation rates than open Bankart repair, particularly in older patients.
- Further research comparing open stabilization techniques with arthroscopic methods is warranted.
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