Are collision athletes at a higher risk of re-dislocation after an open Bristow-Latarjet procedure? A systematic review and meta-analysis
| Autor: | Nuno Rui Paulino Pereira, Just A. van der Linde, Umile Giuseppe Longo, Hassanin Alkaduhimi, Michel P.J. van den Bekerom |
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| Rok vydání: | 2017 |
| Předmět: |
Shoulder
030222 orthopedics medicine.medical_specialty biology Athletes business.industry Rehabilitation Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences biology.organism_classification Collision 03 medical and health sciences 0302 clinical medicine Bristow-Latarjet procedure Dislocation (syntax) Meta-analysis Physical therapy medicine Orthopedics and Sports Medicine Surgery business Shoulder injury |
| Zdroj: | Shoulder & Elbow. 10:75-86 |
| ISSN: | 1758-5740 1758-5732 |
| DOI: | 10.1177/1758573217728290 |
| Popis: | BackgroundThe primary aim of the present study was to review, summarize and compare the redislocation risk for collision athletes and noncollision athletes after an open Bristow-Latarjet procedure. Our secondary aim was to summarize return to sport, satisfaction, pain and complications.MethodsWe conducted a systematic review in PubMed and EMBASE of articles until 1 July 2016. We included all studies describing Bristow-Latarjet like procedures as a result of glenohumeral instability, mentioning redislocation rates in collision athletes with >2 years of follow-up. We pooled the data using random-effects meta-analysis for redislocation risk-differences (RD) between collision and noncollision athletes, and assessed heterogeneity with I2and Tau2tests.ResultsFrom 475 titles and abstracts, 11 studies were included and eight studies were meta-analyzed. The pooled RD to develop a postoperative redislocation between collision athletes and noncollision athletes was −0.00 (95% confidence interval: −0.03 to 0.03, p = 0.370). Return to sports rates were high (67–100%), and patients reported high satisfaction scores (93–100% satisfied) and low pain scores (mean visual analogue scale score of 1.6); however, postoperative complication rates varied from 0.8% to 19.2%.ConclusionsCollision athletes are not more at risk for redislocation rates after an open Bristow-Latarjet procedure compared to noncollision athletes. Overall postoperative outcomes were good, although numerous complications occurred. |
| Databáze: | OpenAIRE |
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