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Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery?: a systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations

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Hobby, J., Griffin, Damian R., Dunbar, Mark Robert and Boileau, P. (2007) Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery?: a systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. Journal of Bone and Joint Surgery - British Volume, Vol.89-B (No.9). pp. 1188-1196. doi:10.1302/0301-620X.89B9.18467 ISSN 0301-620X.

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Official URL: http://dx.doi.org/10.1302/0301-620X.89B9.18467

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Abstract

A systematic search of the literature published between January 1985 and February 2006 identified 62 studies which reported the results of arthroscopic procedures for chronic anterior shoulder instability or comparisons between arthroscopic and open surgery. These studies were classified by surgical technique and research methodology, and when appropriate, were included in a meta-analysis.

The failure rate of arthroscopic shoulder stabilisation using staples or transglenoid suture techniques appeared to be significantly higher than that of either open surgery or arthroscopic stabilisation using suture anchors or bio-absorbable tacks. Arthroscopic anterior stabilisation using the most effective techniques has a similar rate of failure to open stabilisation after two years.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Journal of Bone and Joint Surgery - British Volume
Publisher: British Editorial Society of Bone and Joint Surgery
ISSN: 0301-620X
Official Date: 2007
Dates:
DateEvent
2007Published
Volume: Vol.89-B
Number: No.9
Page Range: pp. 1188-1196
DOI: 10.1302/0301-620X.89B9.18467
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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