![]() However, they observed that patients who had less than three episodes of subluxation before surgery showed better outcomes compared with those who underwent more episodes. noted overall recurrence in 19 patients (31%) they also noted no significant benefits to open or arthroscopic repair. noted that younger patients possess an important risk factor for recurrence after Bankart repair they further noted that patients who underwent arthroscopic repair had a significantly lower failure rate (4.5%) than those who underwent open repair (7.7%). While these soldiers need repair as early as possible to return to duty, there is no consensus, however, among surgeons on whether repairs conducted immediately after first-time dislocations achieve better outcomes and reduce chances of recurrence more effectively than repairs carried out after multiple episodes of dislocation. Waterman et al. Traumatic shoulder dislocation is very common in military soldiers due to their involvement in high-level contact sports, training, and other various kinds of military activities. The glenoid labrum is the sheet anchor in maintaining the glenohumeral joint stability as the bony glenoid fossa is shallow, a socket-deepening effect is created by the labrum for better stability, hence preventing dislocations. These injuries affect the shoulder in various ways and often prevent the individual from returning to their pre-injury state. Traumatic shoulder dislocation or instability is one of the most common sports-related injuries. It is prudent to advise early repair even after the first dislocation especially in young active soldiers to reduce the risk of postoperative recurrence. Patients who underwent repair after first-time dislocation show a lower postoperative recurrence rate as compared with those who had multiple dislocations before surgery. The odds of postoperative recurrence were five times higher in the recurrent dislocation group (odds ratio (OR): 5.23). ResultsĪ total of 143 patients were included, providing 97.3% follow-up at an average of 36 months. The postoperative recurrence rate was 19.7% in the F group and 58.3% in the R group (P < 0.001). The range of motion, postoperative function, recurrence rates, and return to pre-injury state was evaluated. The scores were recorded preoperatively and at three-year follow-up. We also used the Simple Shoulder Test (SST) score for evaluation. The recurrence rates, Rowe scores, visual analog scale (VAS) scores, subjective shoulder values (SSVs), and satisfaction were compared. Nonabsorbable PEEK suture anchors (Chetan Meditech, India) were used for arthroscopic Bankart repair. ![]() ![]() The patients were evaluated and followed up for over three years. In this prospective study, 143 soldiers were included, of which 82 patients had first-time dislocation (F group) and 61 patients had recurrent dislocation before surgery (R group). Qbserve 1.82 series#The present study is a level IV case series treatment study. This study aims to report the postoperative recurrence rate in soldiers with first-time dislocation versus those with recurrent dislocations before surgery. There is not much data available on the rate of recurrence when primary dislocation (first time) was treated by arthroscopic Bankart repair and in those who have recurrent (multiple) dislocations before surgery. ![]() The dislocation when treated nonsurgically has a 71% high rate of recurrence. Anterior traumatic shoulder dislocation is very common among soldiers or any young population following injury, which is invariably treated by closed reduction. ![]()
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