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Comparison of Bristow procedure and Bankart arthroscopic method as the treatment of recurrent shoulder instability.

Zarezade A, Dehghani M, Rozati AR, Banadaki HS, Shekarchizade N - Adv Biomed Res (2014)

Bottom Line: Finally, 22 patients (59.46%) showed great improvement with this score, which included 12 from Bristow and 10 from Bankart groups (63.16 vs. 55.56).According to Fisher's exact test, there were no significant differences between the two groups (P = 0.15).The two mentioned techniques did not differ significantly, although some parameters such as level of performance, pain intensity, use of analgesics, and range of internal rotation showed more improvement in Bristow procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Anterior shoulder dislocation is the most common major joint dislocation. In patients with recurrent shoulder dislocation, surgical intervention is necessary. In this study, two methods of treatment, Bankart arthroscopic method and open Bristow procedure, were compared.

Materials and methods: This clinical trial survey had been done in the orthopedic department of Alzahra and Kashani hospitals of Isfahan during 2008-2011. Patients with recurrent anterior shoulder dislocation who were candidates for surgical treatment were randomly divided into two groups, one treated by Bankart arthroscopic technique and the other treated by Bristow method. All the patients were assessed after the surgery using the criteria of ROWE, CONSTANT, UCLA, and ASES. Data were analyzed by SPSS software.

Results: Six patients (16.22%) had inappropriate condition with ROWE score (score less than 75); of them, one had been treated with Bristow and five with Bankart (5.26 vs. 27.78). Nine patients (24.32%) had appropriate condition, which included six from Bristow group and three treated by Bankart technique (31.58 vs. 16.67). Finally, 22 patients (59.46%) showed great improvement with this score, which included 12 from Bristow and 10 from Bankart groups (63.16 vs. 55.56). According to Fisher's exact test, there were no significant differences between the two groups (P = 0.15).

Conclusion: The two mentioned techniques did not differ significantly, although some parameters such as level of performance, pain intensity, use of analgesics, and range of internal rotation showed more improvement in Bristow procedure. Therefore, if there is no contraindication for Bristow procedure, it is preferred to use this method.

No MeSH data available.


Related in: MedlinePlus

Postoperative condition of the patients based on ROWE score
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Figure 2: Postoperative condition of the patients based on ROWE score

Mentions: This score consists of three parameters: stability, mobility, and performance of the patients. The mean ROWE scores for Bristow and Bankart groups were 87.4 ± 13 and 85 ± 12.8, respectively, and t-test showed no significant difference between these two groups (P = 0.58). According to the ROWE score[24] distribution between the two groups, which is seen in Figure 2, 12 patients from Bristow group and 10 from Bankart were feeling great (63.2% vs. 55.6%). Also, 6 and 3 patients from these groups, respectively, had a good condition (31.6% vs. 16.7%). One patient from Bristow group and five from Bankart group had inappropriate condition (5.3% vs. 27.8%). None of the studied patients were in bad condition. Fisher's exact test revealed no significant difference between these groups (P = 0.15).


Comparison of Bristow procedure and Bankart arthroscopic method as the treatment of recurrent shoulder instability.

Zarezade A, Dehghani M, Rozati AR, Banadaki HS, Shekarchizade N - Adv Biomed Res (2014)

Postoperative condition of the patients based on ROWE score
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4283246&req=5

Figure 2: Postoperative condition of the patients based on ROWE score
Mentions: This score consists of three parameters: stability, mobility, and performance of the patients. The mean ROWE scores for Bristow and Bankart groups were 87.4 ± 13 and 85 ± 12.8, respectively, and t-test showed no significant difference between these two groups (P = 0.58). According to the ROWE score[24] distribution between the two groups, which is seen in Figure 2, 12 patients from Bristow group and 10 from Bankart were feeling great (63.2% vs. 55.6%). Also, 6 and 3 patients from these groups, respectively, had a good condition (31.6% vs. 16.7%). One patient from Bristow group and five from Bankart group had inappropriate condition (5.3% vs. 27.8%). None of the studied patients were in bad condition. Fisher's exact test revealed no significant difference between these groups (P = 0.15).

Bottom Line: Finally, 22 patients (59.46%) showed great improvement with this score, which included 12 from Bristow and 10 from Bankart groups (63.16 vs. 55.56).According to Fisher's exact test, there were no significant differences between the two groups (P = 0.15).The two mentioned techniques did not differ significantly, although some parameters such as level of performance, pain intensity, use of analgesics, and range of internal rotation showed more improvement in Bristow procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Anterior shoulder dislocation is the most common major joint dislocation. In patients with recurrent shoulder dislocation, surgical intervention is necessary. In this study, two methods of treatment, Bankart arthroscopic method and open Bristow procedure, were compared.

Materials and methods: This clinical trial survey had been done in the orthopedic department of Alzahra and Kashani hospitals of Isfahan during 2008-2011. Patients with recurrent anterior shoulder dislocation who were candidates for surgical treatment were randomly divided into two groups, one treated by Bankart arthroscopic technique and the other treated by Bristow method. All the patients were assessed after the surgery using the criteria of ROWE, CONSTANT, UCLA, and ASES. Data were analyzed by SPSS software.

Results: Six patients (16.22%) had inappropriate condition with ROWE score (score less than 75); of them, one had been treated with Bristow and five with Bankart (5.26 vs. 27.78). Nine patients (24.32%) had appropriate condition, which included six from Bristow group and three treated by Bankart technique (31.58 vs. 16.67). Finally, 22 patients (59.46%) showed great improvement with this score, which included 12 from Bristow and 10 from Bankart groups (63.16 vs. 55.56). According to Fisher's exact test, there were no significant differences between the two groups (P = 0.15).

Conclusion: The two mentioned techniques did not differ significantly, although some parameters such as level of performance, pain intensity, use of analgesics, and range of internal rotation showed more improvement in Bristow procedure. Therefore, if there is no contraindication for Bristow procedure, it is preferred to use this method.

No MeSH data available.


Related in: MedlinePlus