PMID- 34530108
OWN - NLM
STAT- MEDLINE
DCOM- 20220310
LR  - 20220311
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 3
DP  - 2022 Mar
TI  - Double-Pulley Remplissage in Active-Duty Military Population With Off-Track 
      Anterior Shoulder Instability Results in Improved Outcomes and Low Recurrence at 
      Minimum 4-Year Follow-Up.
PG  - 743-749
LID - S0749-8063(21)00817-3 [pii]
LID - 10.1016/j.arthro.2021.09.003 [doi]
AB  - PURPOSE: To report mid-term outcomes of active-duty patients with anterior 
      shoulder instability following our technique for double-pulley remplissage (DPR) 
      with concomitant anterior labral repair. METHODS: All consecutive patients from 
      1/2010 through 12/2016 that underwent DPR by the senior surgeon with complete 
      outcome scores were identified. All patients had experienced a shoulder 
      dislocation following a traumatic event, and had subsequent instability 
      recalcitrant to conservative management. Patients were excluded if they were lost 
      to follow-up (3) of if they underwent stabilization procedures other than DPR 
      (148). Outcome measures were completed by patients within 1 week prior to surgery 
      and at latest follow-up. Twenty-four patients met the inclusion criteria for the 
      study, and all were active-duty military at the time of surgery. RESULTS: 20/24 
      (83.3%) patients met the patient acceptable symptomatic state (PASS), while 21/24 
      (87.5%) achieved substantial clinical benefit (SCB) and 22/24 (91.7%) exceeded 
      the minimal clinically important difference (MCID) for their operative shoulder, 
      as determined by the American Shoulder and Elbow Surgeons (ASES) Score. 21/24 
      (87.5%) patients met the PASS, while 19/24 (79.2%) achieved SCB and 20/24 (83.3%) 
      exceeded the MCID for their operative shoulder, as determined by the single 
      assessment numeric evaluation (SANE). In addition, 23/24 (95.8%) patients 
      exceeded the MCID for their operative shoulder, as determined by the Rowe 
      Instability score. Preoperative and postoperative range of motion did not vary 
      significantly. All patients had decreased pain postoperatively (P < .0001); 22/24 
      (91.67%) of patients remained on active-duty status. Failure rate, defined as 
      recurrent subluxation or dislocation, was 4.2%. CONCLUSIONS: Mid-term outcomes in 
      this population of active-duty patients undergoing DPR for shoulder instability 
      without glenoid bone loss demonstrate a statistically and clinically significant 
      improvement in patient-reported outcomes, a significant decrease of pain and an 
      overall return to active-duty rate of 91.67%. LEVEL OF EVIDENCE: IV, therapeutic 
      case series.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Scanaliato, John P
AU  - Scanaliato JP
AD  - William Beaumont Army Medical Center, Department of Orthopaedic Surgery, El Paso, 
      Texas, U.S.A.. Electronic address: jscans@gmail.com.
FAU - Dunn, John C
AU  - Dunn JC
AD  - William Beaumont Army Medical Center, Department of Orthopaedic Surgery, El Paso, 
      Texas, U.S.A.
FAU - Fitzpatrick, Kelly V
AU  - Fitzpatrick KV
AD  - William Beaumont Army Medical Center, Department of Orthopaedic Surgery, El Paso, 
      Texas, U.S.A.
FAU - Czajkowski, Hunter
AU  - Czajkowski H
AD  - Carthage Area Hospital, Carthage, New York, U.S.A.
FAU - Parnes, Nata
AU  - Parnes N
AD  - Carthage Area Hospital, Carthage, New York, U.S.A.; Claxton-Hepburn Medical 
      Center, Ogdensburg, New York.
LA  - eng
PT  - Journal Article
DEP - 20210914
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2022 Mar;38(3):750-751. PMID: 35248228
MH  - Arthroscopy/methods
MH  - Follow-Up Studies
MH  - Humans
MH  - *Joint Instability/surgery
MH  - *Military Personnel
MH  - Recurrence
MH  - Retrospective Studies
MH  - Shoulder
MH  - *Shoulder Dislocation/surgery
MH  - *Shoulder Joint/surgery
EDAT- 2021/09/17 06:00
MHDA- 2022/03/11 06:00
CRDT- 2021/09/16 20:14
PHST- 2021/03/15 00:00 [received]
PHST- 2021/07/03 00:00 [revised]
PHST- 2021/09/07 00:00 [accepted]
PHST- 2021/09/17 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
PHST- 2021/09/16 20:14 [entrez]
AID - S0749-8063(21)00817-3 [pii]
AID - 10.1016/j.arthro.2021.09.003 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Mar;38(3):743-749. doi: 10.1016/j.arthro.2021.09.003. Epub 2021 
      Sep 14.