Abstract

Background: Recurrent anterior shoulder instability is a widespread orthopedic condition, specifically among young, active people and athletes. Surgical intervention is the definitive treatment for patients who fail conservative management. The primary surgical options include open and arthroscopic procedures, each with distinct advantages and limitations. The study aims to compare the outcomes of open versus arthroscopic surgical management for recurrent anterior shoulder instability, evaluating recurrence rates, patient-reported outcomes, range of motion, surgical duration, intraoperative complications, and postoperative rehabilitation durations. Methods: This study involved a total of 364 patients, with 182 patients allocated to each of the open and arthroscopic surgery groups. Data collected included patient demographics, clinical evaluations, surgical details, and follow-up assessments at 3, 6, and 12 months. Statistical analysis was accomplished using SPSS version 25.0. Results: The open surgery group had a notably lower recurrence rate (8.2%) compared to the arthroscopic surgery group (13.7%) (p=0.048). Both groups showed substantial improvements in range of motion, with no significant variations at 12 months postoperatively. The Constant-Murley score improved more in the open surgery group (p<0.001). The arthroscopic group had shorter surgical durations (65.2 vs. 90.5 minutes; p<0.001) and slightly shorter rehabilitation periods (13.8 vs. 14.5 weeks; p=0.034).

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