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- W4366979450 abstract "The purpose of this study is to evaluate the outcomes of ABRR compared to AL for anterior shoulder instability in patients with a labral tear and a concomitant engaging Hill-Sachs lesion. A retrospective review of patients who underwent either ABRR or AL for a diagnosis of anterior shoulder instability with a concomitant engaging Hill-Sachs lesion between 2011 and 2019 was performed. Recurrent instability, Visual Analogue Scale (VAS) score, Subjective Shoulder Value (SSV), Western Ontario Shoulder Instability (WOSI) score, patient satisfaction, willingness to undergo surgery again were evaluated. A p value of <0.05 was considered to be statistically significant. Our study included 76 patients in total; 46 patients treated with ABRR, and 30 treated with AL. There were no demographic differences between the two groups, except for glenoid-bone loss and prior surgery which were higher in the AL group. At final follow-up, there was no difference between those that underwent ABRR or AL in reported WOSI score, VAS score, SSV, SIRSI score, satisfaction, or whether they would undergo surgery again. Overall, 5 patients in the ABRR group and 2 patients in the ABRR group had recurrent instability events (10.9% vs 6.7%, p = 0.70), with no significant difference in the rate of recurrent dislocation (10.9% vs 3.3%, p = 0.39). Further analysis of the ABRR group revealed no significant difference in recurrence with those >10% or <10% glenoid bone-loss (13.0% (3/23) vs 8.7% (2/23), p = 0.64), or in those >15% or <15% glenoid bone-loss (16.7 % (2/12) vs 8.8% (3/34), p = 0.59). In patients with anterior shoulder instability and a concomitant Hill-Sachs lesions both ABRR and AL were shown to be reliable treatments, with a low rate of recurrent instability, and excellent patient reported outcomes in appropriately selected patients. Although our study could not determine whether there was a critical glenoid bone-loss for those undergoing ABRR, surgeons should still exercise caution in performing ABRR in patients with high-grade glenoid bone-loss or in those with failed prior stabilizations." @default.
- W4366979450 created "2023-04-27" @default.
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- W4366979450 date "2023-06-01" @default.
- W4366979450 modified "2023-10-16" @default.
- W4366979450 title "Podium Presentation Title: Bankart Repair With Remplissage vs. Latarjet for Anterior Shoulder Instability" @default.
- W4366979450 doi "https://doi.org/10.1016/j.arthro.2023.01.028" @default.
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