Comparison of Clinical Efficacy between Open Surgery via Axillary Approach and Arthroscopic Minimally Invasive Treatment for Recurrent Anterior Shoulder Dislocation
Objective To compare the clinical efficacy between open surgery via axillary approach and arthroscopic minimally invasive treatment for recurrent anterior shoulder dislocation.Methods A retrospective analysis was performed on 37 patients with recurrent anterior shoulder dislocation who underwent surgical treatment in our hospital from April 2015 to April 2022.According to different surgical methods,18 patients who underwent axillary approach autologous iliac bone grafting+Bankart repair and reconstruction were included in the open group,and 19 patients who underwent arthroscopic autologous iliac bone grafting+Bankart repair and reconstruction were included in the minimally invasive group.The surgical time,intraoperative blood loss,total incision length,length of hospital stay,and hospitalization expenses of two groups were observed.The visual analogue scale(VAS)scores were recorded to assess pain before surgery,1 week,6 months,and 12 months after surgery.The recovery of shoulder joint function was evaluated using the Rowe Shoulder Function Scale,Oxford Shoulder Instability Score(OSIS),and Western Ontario Shoulder Instability Index(WOSI)at 12 months postoperatively.The range of motion of the shoulder joint and complications were recorded.Results The surgical time was shorter and hospitalization costs were less in the open group than those in the minimally invasive group,and the difference was statistically significant(P＜0.05).The intraoperative bleeding volume,total incision length,and hospitalization time in the minimally invasive group were significantly reduced as compared with those in the open group(P＜0.05).At 1 week and 6 months after surgery,the VAS scores in the minimally invasive group were significantly lower than those in the open group(P＜0.05).At 12th month after surgery,the shoulder joint abduction range of motion in the minimally invasive group was bigger than that in the open group(P＜0.05).There was no statistically significant difference(P＞0.05)in the Rowe score,OSIS score,WOSI score,and incidence of complications between the two groups.Conclusion Compared with arthroscopic minimally invasive treatment for recurrent anterior shoulder dislocation,open surgery via axillary approach has shorter operation time,less hospitalization costs,better postoperative shoulder joint stability recovery,and is worthy of promotion and application in primary medical institutions.
Axillary approachAutogenous iliac bone graftRecurrent anterior dislocation of shoulder jointShoulder joint function
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