Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?
Objective: The aim of this study was to compare single and double anterior portal techniques in the arthroscopic treatment of traumatic anterior shoulder instability. Methods: A total of 91 cases who underwent arthroscopic Bankart repair for anterior shoulder instability were reviewed. The patients...
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AVES
2017-07-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17301372 |
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| author | Hakan Çiçek Ümit Tuhanioğlu Hasan Ulaş Oğur Fırat Seyfettinoğlu Osman Çiloğlu Tahsin Beyzadeoğlu |
| author_facet | Hakan Çiçek Ümit Tuhanioğlu Hasan Ulaş Oğur Fırat Seyfettinoğlu Osman Çiloğlu Tahsin Beyzadeoğlu |
| author_sort | Hakan Çiçek |
| collection | DOAJ |
| description | Objective: The aim of this study was to compare single and double anterior portal techniques in the arthroscopic treatment of traumatic anterior shoulder instability. Methods: A total of 91 cases who underwent arthroscopic Bankart repair for anterior shoulder instability were reviewed. The patients were divided into 2 groups as Group 1 (47 male and 2 female; mean age: 25.8 ± 6.8) for arthroscopic single anterior portal approach and Group 2 (41 male and 1 female; mean age: 25.4 ± 6.6) for the classical anterior double portal approach. The groups were compared for clinical scores, range of motion, analgesia requirement, complications, duration of surgery, cost and learning curve according to a short questionnaire completed by the relevant healthcare professionals. Results: No statistically significant difference was found between the 2 groups in terms of pre-operative and post-operative Constant and Rowe Shoulder Scores, range of motion and complications (p > 0.05). In Group 2 patients, the requirement for post-operative analgesics was significantly higher (p < 0.001), whereas the duration of surgery was statistically significantly shorter in Group 1 (p < 0.001). In the assessment of the questionnaire, it was seen that a single portal anterior approach was preferred at a higher ratio (p = 0.035). The cost analysis revealed that the cost was 5.7% less for patients with a single portal. Conclusion: In the arthroscopic treatment of traumatic anterior shoulder instability accompanied by a Bankart lesion, the anterior single portal technique is as successful in terms of clinical results as the conventional double portal approach. The single portal technique has advantages such as less postoperative pain, a shorter surgical learning curve and lower costs. Level of Evidence: Level III, Therapeutic study. Keywords: Arthroscopy, Bankart, Shoulder, Single portal |
| format | Article |
| id | doaj-art-2668b3bb34f541e79f25e5dbd94d5eb0 |
| institution | Matheson Library |
| issn | 1017-995X |
| language | English |
| publishDate | 2017-07-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj-art-2668b3bb34f541e79f25e5dbd94d5eb02025-07-02T04:28:05ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-07-01514298302Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?Hakan Çiçek0Ümit Tuhanioğlu1Hasan Ulaş Oğur2Fırat Seyfettinoğlu3Osman Çiloğlu4Tahsin Beyzadeoğlu5Corresponding author.; Adana Numune Training and Research Hospital, Adana, TurkeyAdana Numune Training and Research Hospital, Adana, TurkeyAdana Numune Training and Research Hospital, Adana, TurkeyAdana Numune Training and Research Hospital, Adana, TurkeyAdana Numune Training and Research Hospital, Adana, TurkeyAdana Numune Training and Research Hospital, Adana, TurkeyObjective: The aim of this study was to compare single and double anterior portal techniques in the arthroscopic treatment of traumatic anterior shoulder instability. Methods: A total of 91 cases who underwent arthroscopic Bankart repair for anterior shoulder instability were reviewed. The patients were divided into 2 groups as Group 1 (47 male and 2 female; mean age: 25.8 ± 6.8) for arthroscopic single anterior portal approach and Group 2 (41 male and 1 female; mean age: 25.4 ± 6.6) for the classical anterior double portal approach. The groups were compared for clinical scores, range of motion, analgesia requirement, complications, duration of surgery, cost and learning curve according to a short questionnaire completed by the relevant healthcare professionals. Results: No statistically significant difference was found between the 2 groups in terms of pre-operative and post-operative Constant and Rowe Shoulder Scores, range of motion and complications (p > 0.05). In Group 2 patients, the requirement for post-operative analgesics was significantly higher (p < 0.001), whereas the duration of surgery was statistically significantly shorter in Group 1 (p < 0.001). In the assessment of the questionnaire, it was seen that a single portal anterior approach was preferred at a higher ratio (p = 0.035). The cost analysis revealed that the cost was 5.7% less for patients with a single portal. Conclusion: In the arthroscopic treatment of traumatic anterior shoulder instability accompanied by a Bankart lesion, the anterior single portal technique is as successful in terms of clinical results as the conventional double portal approach. The single portal technique has advantages such as less postoperative pain, a shorter surgical learning curve and lower costs. Level of Evidence: Level III, Therapeutic study. Keywords: Arthroscopy, Bankart, Shoulder, Single portalhttp://www.sciencedirect.com/science/article/pii/S1017995X17301372 |
| spellingShingle | Hakan Çiçek Ümit Tuhanioğlu Hasan Ulaş Oğur Fırat Seyfettinoğlu Osman Çiloğlu Tahsin Beyzadeoğlu Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? Acta Orthopaedica et Traumatologica Turcica |
| title | Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? |
| title_full | Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? |
| title_fullStr | Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? |
| title_full_unstemmed | Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? |
| title_short | Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability? |
| title_sort | single anterior portal a better option for arthroscopic treatment of traumatic anterior shoulder instability |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17301372 |
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