Remplissage for anterior shoulder instability with Hill-Sachs lesions: a systematic review and meta-analysis.

Arthroscopy Bankart Lesions Humans Joint Instability / surgery Recurrence Shoulder Shoulder Dislocation / surgery Shoulder Joint / surgery
Bankart Latarjet anterior shoulder instability arthroscopy remplissage systematic review

Journal

Journal of shoulder and elbow surgery
ISSN: 1532-6500
Titre abrégé: J Shoulder Elbow Surg
Pays: United States
ID NLM: 9206499

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 18 02 2020
revised: 18 06 2020
accepted: 22 06 2020
pubmed: 11 7 2020
medline: 16 6 2021
entrez: 11 7 2020
Statut: ppublish

Résumé

The purpose of this study was to perform a systematic review and meta-analysis of the current evidence in the literature to determine how arthroscopic Bankart repair (ABR) and remplissage compare with ABR alone and the open Latarjet procedure for anterior shoulder instability in patients with concomitant Hill-Sachs lesions. A literature search was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Studies comparing ABR and remplissage vs. ABR alone or the Latarjet procedure for anterior shoulder instability in patients with Hill-Sachs lesions were included. Clinical outcomes were compared, with all statistical analysis performed using Review Manager (version 5.3). P < .05 was considered statistically significant. Twelve clinical trials were included. There was a significant difference between ABR plus remplissage and ABR alone in total recurrence rate (3.2% vs. 16.8%, P < .05) but not the rate of revision due to recurrence (1.7% vs. 8.5%, P = .06). There was no significant difference between the Latarjet procedure and ABR plus remplissage in total recurrence rate (7.0% vs. 9.8%, P = .39), total revision rate (3.7% vs. 5.7%, P = .41), and rate of revision due to recurrence (1.6% vs. 2.1%, P = .79). There was a significantly lower rate of complications with ABR and remplissage compared with the Latarjet procedure (0.5% vs. 8.6%, P = .003). In patients with Hill-Sachs lesions and subcritical glenoid bone loss, ABR with remplissage resulted in lower rates of recurrent instability compared with ABR alone while resulting in similar recurrence rates, as well as similar patient-reported outcomes, with lower morbidity and fewer complications, compared with the Latarjet procedure. Level III; Systematic Review.

Sections du résumé

BACKGROUND BACKGROUND
The purpose of this study was to perform a systematic review and meta-analysis of the current evidence in the literature to determine how arthroscopic Bankart repair (ABR) and remplissage compare with ABR alone and the open Latarjet procedure for anterior shoulder instability in patients with concomitant Hill-Sachs lesions.
METHODS METHODS
A literature search was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. Studies comparing ABR and remplissage vs. ABR alone or the Latarjet procedure for anterior shoulder instability in patients with Hill-Sachs lesions were included. Clinical outcomes were compared, with all statistical analysis performed using Review Manager (version 5.3). P < .05 was considered statistically significant.
RESULTS RESULTS
Twelve clinical trials were included. There was a significant difference between ABR plus remplissage and ABR alone in total recurrence rate (3.2% vs. 16.8%, P < .05) but not the rate of revision due to recurrence (1.7% vs. 8.5%, P = .06). There was no significant difference between the Latarjet procedure and ABR plus remplissage in total recurrence rate (7.0% vs. 9.8%, P = .39), total revision rate (3.7% vs. 5.7%, P = .41), and rate of revision due to recurrence (1.6% vs. 2.1%, P = .79). There was a significantly lower rate of complications with ABR and remplissage compared with the Latarjet procedure (0.5% vs. 8.6%, P = .003).
CONCLUSION CONCLUSIONS
In patients with Hill-Sachs lesions and subcritical glenoid bone loss, ABR with remplissage resulted in lower rates of recurrent instability compared with ABR alone while resulting in similar recurrence rates, as well as similar patient-reported outcomes, with lower morbidity and fewer complications, compared with the Latarjet procedure.
LEVEL OF EVIDENCE METHODS
Level III; Systematic Review.

Identifiants

DOI: 10.1016/j.jse.2020.06.021 PMID: 32650087
pubmed: 32650087
pii: S1058-2746(20)30537-1
doi: 10.1016/j.jse.2020.06.021
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2487-2494

Informations de copyright

Copyright © 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Auteurs

Eoghan T Hurley (ET)

Sports Surgery Clinic, Dublin, Ireland; Department of Trauma & Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address: eoghanhurley@rcsi.ie.

James P Toale (JP)

Sports Surgery Clinic, Dublin, Ireland; Department of Trauma & Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland.

Martin S Davey (MS)

Sports Surgery Clinic, Dublin, Ireland; Department of Trauma & Orthopaedic Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland.

Christopher A Colasanti (CA)

New York University Langone Medical Center, New York, NY, USA.

Leo Pauzenberger (L)

Sports Surgery Clinic, Dublin, Ireland.

Eric J Strauss (EJ)

New York University Langone Medical Center, New York, NY, USA.

Hannan Mullett (H)

Sports Surgery Clinic, Dublin, Ireland.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Arthroscopie › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Plaies et blessures › Lésions de l'épaule › Fractures de l'épaule › Lésions de Bankart › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Instabilité articulaire › Remplissage for anterior shoulder instability...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Récidive › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Régions du corps › Membres › Membre supérieur › Épaule › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Plaies et blessures › Lésions de l'épaule › Luxation de l'épaule › Remplissage for anterior shoulder instability...
questionsmedicales.fr › Appareil locomoteur › Squelette › Articulations › Articulation glénohumérale › Remplissage for anterior shoulder instability...