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The playing position significantly influences return to sports and recurrences after an arthroscopic Bankart repair in competitive rugby players. 比赛位置对橄榄球运动员关节镜Bankart修复后的运动恢复和复发有显著影响。

Shoulder & elbow Pub Date : 2022-07-01 Epub Date: 2021-02-17 DOI: 10.1177/1758573221993089

Ignacio Pasqualini, Luciano Andrés Rossi, Franco Luis De Cicco, Ignacio Tanoira, Ignacio Alonso Hidalgo, Santiago Bongiovanni, Diego Hernán Giunta, Maximiliano Ranalletta

{"title":"The playing position significantly influences return to sports and recurrences after an arthroscopic Bankart repair in competitive rugby players.","authors":"Ignacio Pasqualini, Luciano Andrés Rossi, Franco Luis De Cicco, Ignacio Tanoira, Ignacio Alonso Hidalgo, Santiago Bongiovanni, Diego Hernán Giunta, Maximiliano Ranalletta","doi":"10.1177/1758573221993089","DOIUrl":"https://doi.org/10.1177/1758573221993089","url":null,"abstract":"Background: The purpose of our study was to investigate the influence of the different rugby playing positions on return to sports, functional outcomes, and recurrences after an arthroscopic Bankart repair.Methods: A total of 88 rugby players were treated for anterior shoulder instability in our institution between 2010 and 2018. Functional outcomes, return to sports, recurrences, complications, and revisions rates were evaluated according to the playing position.Results: Overall, 73.8% of the patients returned to rugby and 60% returned at the same level as before the injury. The tight forwards and outside backs experienced a significant decrease in their competitive level after surgery, and showed the lowest functional outcomes. The tight forwards and outside backs showed a statistically significant increase in recurrence and revision rates, and an OR for recurrence of 12.8 and 9.6, respectively.Discussion: The playing position significantly influenced return to sports and recurrences after an arthroscopic Bankart repair in competitive rugby players. Specifically, the tight forwards and outside backs have returned to a lower level than they had before surgery, showed the lowest functional outcomes, and a significant increase in recurrences and revisions rates than the other groups.","PeriodicalId":520776,"journal":{"name":"Shoulder & elbow","volume":" ","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1758573221993089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40611072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Outcomes and complications of distal humeral hemiarthroplasty for distal humeral fractures - A systematic review. 肱骨远端半关节置换术治疗肱骨远端骨折的疗效和并发症——系统综述。

Shoulder & elbow Pub Date : 2022-02-01 Epub Date: 2021-06-17 DOI: 10.1177/17585732211023100

Ann M Wilfred, Shakib Akhter, Nolan S Horner, Ahmed Aljedani, Moin Khan, Bashar Alolabi

{"title":"Outcomes and complications of distal humeral hemiarthroplasty for distal humeral fractures - A systematic review.","authors":"Ann M Wilfred, Shakib Akhter, Nolan S Horner, Ahmed Aljedani, Moin Khan, Bashar Alolabi","doi":"10.1177/17585732211023100","DOIUrl":"https://doi.org/10.1177/17585732211023100","url":null,"abstract":"Background: Distal humeral hemiarthroplasty has been performed for a variety of indications with the most common being management of distal humeral fractures. This systematic review evaluates the outcomes and complications of distal humeral hemiarthroplasty for this pathology.Methods: We searched PubMed, EMBASE, and MEDLINE for studies reporting indications and outcomes of patients undergoing distal humeral hemiarthroplasty. Study screening, risk of bias assessment, and data extraction were performed. Summery statistics were provided.Results: We included 11 studies (N = 163) in this review. In all studies, the indication for distal humeral hemiarthroplasty was the presence of an intraarticular, comminuted, unreconstructable fracture. The mean post-operative MEPS, FullDASH, and QuickDASH (SD) scores were 83.6 (6.1) points, 25.4 (10.3), and 15.7 (7.4) points, respectively. The mean post-operative range of motion (SD) was 106° (11°) in the flexion and extension arc and 153° (19°) in the protonation and supination arc. The overall rate of adverse events and complication was 63%. The rate for major complications was 11%. The mean total revision rate was 4% (0% to 15) and total re-operation rate was 29% (0% to 88%).Conclusion: Distal humeral hemiarthroplasty is a suitable option for unreconstructable distal humeral fractures and offers good functional outcomes with acceptable complication rates.","PeriodicalId":520776,"journal":{"name":"Shoulder & elbow","volume":" ","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/17585732211023100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39776613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6