Our Summary

This research focused on finding the best follow-up treatment for failed labral repair, a procedure to fix a type of shoulder injury. Two methods were compared: a repeat of the labral repair (RLR), and a revision bony reconstruction (RBR), which is a more invasive surgery. The study also compared the recurrence rates of the RBR after a failed labral repair with that of an initial bony reconstruction (PBR).

The researchers analyzed 13 studies covering 1319 shoulders. They found that RBR had a significantly higher chance of needing another surgery when compared to PBR. However, they found no significant difference in recurrence rates between RBR and RLR. They also found no significant difference in recurrence rates, return to sport rates, revision surgery rates, and complications between PBR and RBR. Lastly, they found no significant difference between RLR and RBR in the need for another surgery.

In simpler terms, the study found that while there is a higher chance of needing another surgery after an RBR compared to an initial bony reconstruction, there is not a significant difference in the chances of needing additional surgery when comparing RBR and RLR. Therefore, both of these methods can be considered for treating failed labral repairs.

FAQs

  1. What was the main focus of this research study on labral repair?
  2. What were the key findings in comparing the recurrence rates between a repeat labral repair (RLR) and a revision bony reconstruction (RBR)?
  3. Is there a significant difference in the need for additional surgery between RLR and RBR?

Doctor’s Tip

A helpful tip a doctor might tell a patient about labral repair is to follow post-operative instructions carefully, including attending physical therapy sessions as prescribed. This can help ensure proper healing and reduce the risk of needing additional surgeries in the future. It’s also important to communicate any ongoing symptoms or concerns with your healthcare provider to address them promptly.

Suitable For

Typically, patients who have experienced a failed labral repair and are considering follow-up treatment options may be recommended for a repeat of the labral repair (RLR) or a revision bony reconstruction (RBR). The decision between these two methods will depend on the individual patient’s specific circumstances and the recommendation of their healthcare provider.

Timeline

Overall, the timeline for a patient experiencing a failed labral repair and undergoing follow-up treatment can be summarized as follows:

  • Pre-surgery: The patient experiences persistent shoulder pain and instability following the initial labral repair.
  • Surgery: The patient undergoes either a repeat of the labral repair (RLR) or a revision bony reconstruction (RBR) to address the failed repair.
  • Post-surgery: The patient undergoes rehabilitation and physical therapy to regain strength and mobility in the shoulder.
  • Follow-up: The patient is monitored for recurrence of symptoms and the need for additional surgery.
  • Further treatment: If necessary, additional surgeries may be performed, such as a repeat of the labral repair or a revision bony reconstruction.

In conclusion, the study suggests that both repeat labral repair and revision bony reconstruction are viable options for treating failed labral repairs, with the decision between the two methods depending on individual patient factors and preferences.

What to Ask Your Doctor

Some questions a patient should ask their doctor about labral repair include:

  1. What are the potential risks and complications associated with labral repair surgery?
  2. What is the success rate of labral repair surgery in treating my specific shoulder injury?
  3. What is the difference between a repeat labral repair and a revision bony reconstruction, and which option would be best for my situation?
  4. What is the likelihood of needing another surgery after a failed labral repair, and what are the options for follow-up treatment?
  5. What is the recovery process like after labral repair surgery, and how long will it take for me to return to my normal activities?
  6. Are there any alternative treatment options to consider before undergoing surgery for a labral repair?
  7. How experienced are you in performing labral repair surgeries, and what is your success rate with this procedure?
  8. Are there any specific exercises or physical therapy programs that I should follow after surgery to help with my recovery and prevent future injuries?
  9. What is the expected outcome of labral repair surgery in terms of pain relief, range of motion, and overall shoulder function?
  10. Are there any long-term considerations or lifestyle changes I should be aware of after undergoing labral repair surgery?

Reference

Authors: van Iersel TP, van Spanning SH, Verweij LPE, Priester-Vink S, van Deurzen DFP, van den Bekerom MPJ. Journal: J Shoulder Elbow Surg. 2022 Sep;31(9):1982-1991. doi: 10.1016/j.jse.2022.02.044. Epub 2022 Apr 14. PMID: 35430365