Tandem surgery better for shoulder dislocation

By Peter Pollack

According to the results of a Level 1, prospective, randomized, double-blind controlled trial, tandem surgery consisting of primary arthroscopic examination and repair of a Bankart lesion reduces the risk of subsequent instability, and that benefit is distinct from any therapeutic effect of arthroscopic examination and lavage of the glenohumeral joint. The study results were outlined by Paul J. Jenkins, MBChB, MRCS, during the 2008 AAOS Annual Meeting.

ABR yields better outcomes
Study participants (88 patients between 15 and 35 years of age) had sustained a first-time glenohumeral dislocation and were randomly divided into two groups—arthroscopic/lavage only (ALO) or arthroscopic/ Bankart repair (ABR). All procedures were conducted by a single surgeon.

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