A prospective study of functional outcome of arthroscopic repair of recurrent anterior shoulder dislocation

Abstract

Background: The causes of anterior dislocation of shoulder are usually trauma; a sports injury, road traffic accident, assault or fall. The arthroscopic Bankart repair offers minimally invasive procedure with less surgical trauma, less blood loss, with improvement in operative time, less perioperative morbidity, narcotic use, hospital stay, time loss from work, decrease in number of complications, cost of surgery and better cosmetic result.Aim: To assess the functional outcome of shoulder joint following arthroscopic repair of recurrent anterior shoulder dislocation.Materials and Methods: A hospital based prospective study was done with 30 patients to assess the functional outcome of arthroscopic repair of recurrent anterior shoulder dislocation from January 2019 to June 2020 done using the UCLA (University of California at Los Angeles), ASES (American Shoulder and Elbow Surgeons) shoulder score and the Rowe score.Results: Patients in the group operated with retro-grade femoral nailing showed similar functional outcome as compared to ante-grade femoral nailing. It was also noted that in patients with retro-grade femoral nailing early mobilization, smaller incision at entry point was possible and there was no need of a fracture table.Conclusion: Arthroscopic repair in cases of recurrent anterior shoulder instability is a reliable surgical procedure with respect to shoulder function and motion as it offers good clinical outcome, excellent post-operative shoulder range of motion with improved function. This surgical procedure has better patient compliance, and minimum surgical complications in properly selected patients.