dc.contributor.author | Kennedy, Mitchell I. | |
dc.contributor.author | Murphy, Colin | |
dc.contributor.author | Dornan, Grant J. | |
dc.contributor.author | Moatshe, Gilbert | |
dc.contributor.author | Chahla, Jorge | |
dc.contributor.author | LaPrade, Robert F. | |
dc.contributor.author | Provencher, Matthew T. | |
dc.date.accessioned | 2020-04-23T09:38:14Z | |
dc.date.available | 2020-04-23T09:38:14Z | |
dc.date.created | 2019-06-25T15:00:15Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | The Orthopaedic Journal of Sports Medicine. 2019, 7(5), 2325967119846915. | en_US |
dc.identifier.issn | 2325-9671 | |
dc.identifier.uri | https://hdl.handle.net/11250/2652200 | |
dc.description | This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License (http://creativecommons.org/
licenses/by-nc-nd/4.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are
credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For article reuse guidelines, please visit SAGE’s website at
http://www.sagepub.com/journals-permissions. | |
dc.description.abstract | Background: High recurrence rates have been reported after anterior shoulder dislocations, regardless of the treatment utilized. However, the definition of recurrent instability has been inconsistent, making a comparison between studies difficult. Purpose: To report on the nature with which the rate of recurrent instability is reported after arthroscopic Bankart repair, across all levels of evidence, and to analyze factors that may affect the reported rate of recurrence. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was performed by searching PubMed, the Cochrane Central Register of Controlled Trials, Embase, and ClinicalTrials.gov for studies published within the dates of January 2008 and September 2018. Studies in English that reported on the recurrence of instability after arthroscopic Bankart repair for anterior shoulder instability were considered for inclusion in this review. A meta-regression was performed to test for a linear association between the reported recurrence rate and several continuous covariates, including mean age at surgery, mean length of follow-up, attrition rate (loss to follow-up percentage), and percentage of male patients. Results: A trim-and-fill meta-analysis yielded an estimated overall recurrence rate of 17.4% (95% CI, 14.3%-20.9%). There was a significant difference in the recurrence rate depending on the level of evidence (Q(3) = 10.98; P = .012). Significant associations were found with the recurrence rate through the meta-regression, including a negative association with mean age (P = .009), a positive association with mean follow-up time (P = .002), and a positive association with attrition rate (P = .035). Conclusion: A call for standardization is necessary for reporting outcomes of anterior instability after arthroscopic Bankart repair, especially with regard to the reporting of recurrence/failure rates, with careful consideration of the effects that may occur from patient demographics and study design. With no current recommendations for deeming failure, we suggest that all forms of instability be accounted for when determining a failed treatment procedure, with future studies placing an emphasis on greater control of the study design. | en_US |
dc.language.iso | eng | en_US |
dc.subject | arthroscopic Bankart | en_US |
dc.subject | anterior shoulder instability | en_US |
dc.subject | recurrence | en_US |
dc.subject | failure | en_US |
dc.subject | dislocation | en_US |
dc.title | Variability of reporting recurrence after arthroscopic bankart repair: A call for a standardized study design | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © The Author(s) 2019 | |
dc.source.pagenumber | | en_US |
dc.source.volume | 7 | en_US |
dc.source.journal | The Orthopaedic Journal of Sports Medicine | en_US |
dc.source.issue | 5 | en_US |
dc.identifier.doi | 10.1177/2325967119846915 | |
dc.identifier.cristin | 1707712 | |
dc.description.localcode | Seksjon for idrettsmedisinske fag / Department of Sports Medicine | en_US |
cristin.unitcode | 150,34,0,0 | |
cristin.unitname | Seksjon for idrettsmedisinske fag | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |