The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Feb 2007
Review Meta Analysis Comparative StudyArthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature.
Both arthroscopic and open surgical repairs are utilized for the management of anterior glenohumeral instability. To determine the evidence supporting the relative effectiveness of these two approaches, we conducted a rigorous and comprehensive analysis of all reports comparing arthroscopic and open repairs. ⋯ The available evidence indicates that arthroscopic approaches are not as effective as open approaches in preventing recurrent instability or enabling patients to return to work. Arthroscopic approaches resulted in better function as reflected by the Rowe scores in the randomized clinical trials. The study design and the arthroscopic technique had substantial effects on the results of the analysis.