| Arthroscopic
shoulder stabilization Patients who have a history of shoulder dislocation, or have symptoms and clinical signs of shoulder instability, may benefit from shoulder stabilization surgery. Traditionally the surgery is performed using an open operation with a 5 to 8 cm incision in the front of the shoulder. Over the last 10-15 years, arthroscopic "keyhole" techniques utilizing 3 small <1cm incisions, are used by sports surgeons to perform the same operation. Open shoulder stabilizations are still favoured by some surgeons, because the chance of a repeat dislocation after surgery is about 5% (the so-called "recurrence rate"). As arthroscopic shoulder stabilizations techniques have improved over the years, the chance of repeat dislocation after surgery has been reported to be about 5-10%. Recently, arthroscopic shoulder specialists have reported recurrence rates as low as 2%. In trained hands, arthroscopic shoulder stabilization has the benefits of faster recovery, smaller incisions and less shoulder stiffness; with equivalent recurrence rates compared to open surgery. Arthroscopic shoulder stabilization involves placing small bioabsorbable (non-metallic) anchors into the bone of the glenoid (socket). These anchors have sutures attached to them, and it is these sutures that are used to stitch the Bankart/labrum tear back into place. The surgery can be performed as a day surgery operation. Waterproof dressings are applied, so that patients can shower normally on the evening after surgery. Patients usually need to wear a sling (to allow the repaired labrum to heal back to the bone) for about 4 weeks. Physiotherapy starts almost immediately. Most patients recover fully by 4-6 months. Click here to watch a video of Arthroscopic Shoulder Stabilization (2Mb file). Back to Shoulder instability page. Back to main patient information. |
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