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- Talk
- 15/09/2021
- Canada
Should Glenoid Bone Grafting Only Be Used for Previously Failed Bankart Stabilizations? The Clinical Outcomes of Primary vs. Revision Surgery Using Arthroscopic Anatomic Glenoid Reconstruction for Anterior Shoulder Instability
Description
In this presentation, Ryland Murphy, a medical student at Dalhousie University, explores the effectiveness of arthroscopic anatomical glenoid reconstruction (AAGR) in patients with anterior shoulder instability. He investigates whether glenoid bone grafting should only be reserved for patients with previous failed Bankart stabilizations. Through a study of 73 patients over a mean follow-up of 4.7 years, he highlights impressive clinical outcomes, such as no dislocations and a low complication rate.
Murphy presents a retrospective review comparing outcomes between primary and revision AAGR procedures using distal tubule allograft in patients with less than 20% bone loss. The research indicates that primary patients experienced better functionality post-surgery, with significantly higher scores in the Western Ontario shoulder instability score and the disability of arm, shoulder, and hand score—suggesting that surgical timing plays a pivotal role in outcomes.
He concludes that the revision group's prior instability could have led to irreversible damage, emphasizing the need for considering AAGR as a primary intervention to enhance patient outcomes, rather than limiting it to revision cases.