Our Summary

The research paper discusses a study on the effectiveness of using all-suture anchors in repeat arthroscopic labral repair surgery after an initial operation has failed. This study included 28 patients who needed repeat surgery due to a re-dislocation or other issues after the first surgery.

The research shows that using more all-suture anchors in the second surgery was effective, with improved patient scores for shoulder function and stability. However, there was no significant change in range of motion after the surgery.

Around 11% of patients needed a third operation due to re-dislocation or instability symptoms. About 7% of patients still felt some instability in certain arm positions even though they did not need another operation.

The study concluded that using all-suture anchors in repeat surgery showed satisfactory results in terms of improved function and stability. However, about 29% of patients showed signs of arthritis in the shoulder joint after the surgery.

FAQs

  1. What is the effectiveness of using all-suture anchors in repeat arthroscopic labral repair surgery?
  2. What were the common issues experienced by patients after the second surgery using all-suture anchors?
  3. What percentage of patients showed signs of arthritis in the shoulder joint after the surgery?

Doctor’s Tip

A helpful tip a doctor might give a patient about labral repair surgery is to follow the post-operative rehabilitation program diligently to optimize the healing process and prevent complications. This may include physical therapy exercises to strengthen the shoulder muscles, improve range of motion, and regain stability. It is important to communicate any concerns or changes in symptoms to your healthcare provider to ensure proper management and follow-up care.

Suitable For

Patients who are typically recommended labral repair surgery are those who have experienced shoulder dislocations or instability, have a labral tear or injury, have persistent pain or limited range of motion in the shoulder, or have failed previous conservative treatments such as physical therapy. In the case of the research paper, patients who had undergone a previous unsuccessful labral repair surgery and required repeat surgery were included in the study.

Timeline

Timeline before labral repair:

  1. Patient experiences shoulder pain, instability, and decreased range of motion
  2. Patient undergoes initial arthroscopic labral repair surgery
  3. Patient may experience re-dislocation or other issues, leading to the need for repeat surgery

Timeline after labral repair:

  1. Patient undergoes repeat arthroscopic labral repair surgery using all-suture anchors
  2. Patient experiences improved shoulder function and stability
  3. Patient may still have some instability in certain arm positions
  4. Some patients may require a third operation due to re-dislocation or instability symptoms
  5. About 29% of patients show signs of arthritis in the shoulder joint after surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about labral repair surgery using all-suture anchors include:

  1. What are the potential risks and complications associated with using all-suture anchors in labral repair surgery?
  2. How long is the recovery process after surgery using all-suture anchors?
  3. Will I need physical therapy or rehabilitation after the surgery? If so, for how long?
  4. What is the success rate of using all-suture anchors in repeat labral repair surgery?
  5. Are there any alternative treatment options to consider before undergoing surgery with all-suture anchors?
  6. How will the use of all-suture anchors affect my range of motion and shoulder function in the long term?
  7. What is the likelihood of needing additional surgeries or experiencing re-dislocation after undergoing surgery with all-suture anchors?
  8. How will the presence of arthritis in the shoulder joint impact my recovery and long-term outcomes after surgery?
  9. What is the expected timeline for returning to normal activities and sports after surgery using all-suture anchors?
  10. How experienced are you in performing labral repair surgery with all-suture anchors, and what is your success rate with this technique?

Reference

Authors: Lee JH, Shin SJ. Journal: Orthop J Sports Med. 2023 Mar 3;11(3):23259671231151418. doi: 10.1177/23259671231151418. eCollection 2023 Mar. PMID: 36896097