In this review of 9 studies including 822 patients we looked at the long term results of arthroscopic (keyhole surgery) repair of shoulder instability. The reults showed good return to function and sport but there was a significant rate of recurrent dislocation requiring further surgery. We recommend arthroscopic surgery in patients who do not have significant bone damage and in this group the results are very good in our experience .
The Latarjet procedure for anterior shoulder instability results in excellent functional out- comes at long-term and a high rate of return to sport among athletes. However, varying rates of recurrence, residual pain, and progression of instability arthropathy are still of concern.
IN this meta analysis study of 16 studies with 713 shoulder we looked at the result of the Latarjet procedure used as a revision procedure for patients who had instability following previous stabalisation surgery. We found that there was low rates of further instability and complications and a high rate of return to sport.. We performed this study with our colleagues at The Steadman Research Institute,Vail,CO, USA .
Our study found that biceps tenodesis resulted in higher rates of patient satisfaction and return to sport in the studies published in the literature and that biceps tenodesis and SLAP repair resulted in similar functional outcome scores.
In this review article including 6 studies we compared the use of an arthroscopic suture button technique to hook plate technique in the treatment of acromioclavicular dislocations. We found the arthroscopic suture button techniques was better in terms of better postoperative pain and function with no difference in complication rates .
In this meta- analysis study we concluded that the studies all supported the use of double-row repair, adjunctive platelet-rich plasma, and early-motion rehabilitation postoperatively in arthroscopic rotator cuff repair.
We found that at Sports Surgery Clinic the 90-day complication rate with a low revision rate. Hematomas were the most common complication experienced by patients who underwent the Latarjet procedure, while there was no recurrent instability or neurological or hardware complications reported among the 441 patients included in this study.
