Abstract

This study contrasts open and arthroscopic surgery for recurrent anterior shoulder instability. 100 patients were randomly randomized to open or arthroscopic surgery (n=50). Shoulder instability recurrence was the main endpoint, with functional scores (WOSI and ASES), range of motion, strength, patient satisfaction, and complications measured at 3-, 6-, 12-, and 24-months post-surgery. The open surgery group had a lower recurrence rate (4% vs. 12%, p=0.04) and somewhat improved functional outcomes (WOSI: p=0.02, ASES: p=0.03). Both groups showed equal strength and range of motion improvements, good patient satisfaction (p=0.21), and similar complication rates (open: 6%, arthroscopic: 8%). Both surgical approaches are effective, although open surgery has a lower recurrence rate and slightly better functional benefits. Patients and surgeons should choose surgical methods based on their needs and skills.

Description