30-177
Cirugía abierta frente a cirugía artroscópica en el tratamiento de la inestabilidad anterior de hombro
Open surgery versus arthroscopic surgery for anterior shoulder instability
F. MARCO, G. GARCÍA-HERRERA, J. C. SÁNCHEZ-BARBERO, R. OTERO y L. LÓPEZ-DURAN Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario «San Carlos». Universidad Complutense. Madrid.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
We review the results of a conventional technique, Bankart repair, for the treatment
of recurrent anterior shoulder instabüity versus an arthroscopic technique developed by
Rose. Fifteen patients have been selected for each study group with an average postoperative
follow-up around two years. Gandidates for arthroscopic surgery have been selected based on
preoperative and intraoperative exclusion criteria. Intraoperative criteria required evaluation
of stability under anesthesia and diagnostic arthroscopy. In the open surgery group no redislocations
happened. Only one patient did not recover bis previous activity level but 73% had
slight restriction to external rotation at 9 0 ° abduction. In the arthroscopic surgery patients,
one of them suffered a redislocation, two cases did not recover their previous activity level but
86% kept full shoulder motion. The results encourage the authors to continue the developing
trend of arthroscopic stabilization techniques.
of recurrent anterior shoulder instabüity versus an arthroscopic technique developed by
Rose. Fifteen patients have been selected for each study group with an average postoperative
follow-up around two years. Gandidates for arthroscopic surgery have been selected based on
preoperative and intraoperative exclusion criteria. Intraoperative criteria required evaluation
of stability under anesthesia and diagnostic arthroscopy. In the open surgery group no redislocations
happened. Only one patient did not recover bis previous activity level but 73% had
slight restriction to external rotation at 9 0 ° abduction. In the arthroscopic surgery patients,
one of them suffered a redislocation, two cases did not recover their previous activity level but
86% kept full shoulder motion. The results encourage the authors to continue the developing
trend of arthroscopic stabilization techniques.
Palabras clave (ES):
TratamientoInestabilidad
Anterior
Hombro
Abierta
Cirugía
Glenohumeral
Artroscópica
Quirúrgico
Luxación
Resumen (EN)
We review the results of a conventional technique, Bankart repair, for the treatment
of recurrent anterior shoulder instabüity versus an arthroscopic technique developed by
Rose. Fifteen patients have been selected for each study group with an average postoperative
follow-up around two years. Gandidates for arthroscopic surgery have been selected based on
preoperative and intraoperative exclusion criteria. Intraoperative criteria required evaluation
of stability under anesthesia and diagnostic arthroscopy. In the open surgery group no redislocations
happened. Only one patient did not recover bis previous activity level but 73% had
slight restriction to external rotation at 9 0 ° abduction. In the arthroscopic surgery patients,
one of them suffered a redislocation, two cases did not recover their previous activity level but
86% kept full shoulder motion. The results encourage the authors to continue the developing
trend of arthroscopic stabilization techniques.
of recurrent anterior shoulder instabüity versus an arthroscopic technique developed by
Rose. Fifteen patients have been selected for each study group with an average postoperative
follow-up around two years. Gandidates for arthroscopic surgery have been selected based on
preoperative and intraoperative exclusion criteria. Intraoperative criteria required evaluation
of stability under anesthesia and diagnostic arthroscopy. In the open surgery group no redislocations
happened. Only one patient did not recover bis previous activity level but 73% had
slight restriction to external rotation at 9 0 ° abduction. In the arthroscopic surgery patients,
one of them suffered a redislocation, two cases did not recover their previous activity level but
86% kept full shoulder motion. The results encourage the authors to continue the developing
trend of arthroscopic stabilization techniques.
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