Bony Versus Soft Tissue Reconstruction for Anterior Shoulder Instability: An Expected Value Decision Analysis

Orthopaedic Journal of Sports Medicine
Richard James McLaughlinMorgan H Jones

Abstract

One complication of anteroinferior glenohumeral shoulder dislocation is a critical bone defect that requires surgical repair to prevent recurrent instability. However, controversy exists regarding the surgical management because both open and arthroscopic surgeries have respective advantages and disadvantages. Moreover, it is difficult to determine the patient's preferred treatment, as factors that influence treatment choice include recurrence rates, morbidity of the procedures, and patient preferences. Patients who have a higher probability of recurrent instability after arthroscopic surgery will select open surgery whereas patients with a lower probability of recurrent instability after arthroscopic surgery will favor arthroscopy. Economic and decision analysis; Level of evidence, 2. A decision tree was constructed to model each hypothetical outcome after open or arthroscopic surgery for glenohumeral instability in patients with bone defects. A literature review was performed to determine the probability of occurrence for each node while utility values for each outcome were obtained via patient-administered surveys given to 50 patients without prior history of shoulder injury or dislocation. Fold-back analysis was then perfor...Continue Reading

References

Jan 1, 1989·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J J CalandraJ Uribe
Mar 1, 1967·The Journal of Trauma·H L McLaughlin, D I MacLellan
Feb 25, 1998·The American Journal of Sports Medicine·L U BiglianiS J Mcllveen
Feb 1, 2000·The Journal of Bone and Joint Surgery. American Volume·E ItoiK N An
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S Burkhart, J F De Beer
Apr 5, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M V LarrainD M Mauas
Apr 16, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen J O'BrienMark C Drakos
May 1, 1958·The Journal of Bone and Joint Surgery. British Volume·A J HELFET
Feb 5, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ian K Y LoStephen S Burkhart
Mar 23, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Markus ScheibelPeter Habermeyer
Aug 9, 2005·The Journal of Bone and Joint Surgery. American Volume·Hiroyuki SugayaAkihiro Tsuchiya
Oct 6, 2005·Clinical Orthopaedics and Related Research·Robert H BrophyRobert G Marx
Feb 25, 2006·Health Economics·David Parkin, Nancy Devlin
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Pascal BoileauLionel Neyton
Dec 13, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mario Victor LarrainFacundo Pavón
Mar 28, 2007·The American Journal of Sports Medicine·Timothy S MologneChristopher B Dewing
Jun 15, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Pascal BoileauChristopher Chuinard
Oct 6, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen S BurkhartDavid P Richards
Nov 6, 2007·The American Journal of Sports Medicine·Giuseppe PorcelliniMassimo Paganelli
Jun 30, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Shane J NhoAnthony A Romeo
Mar 10, 2010·Journal of Shoulder and Elbow Surgery·Laurent Lafosse, Simon Boyle
May 26, 2010·The Orthopedic Clinics of North America·Pascal BoileauJason Old
Aug 17, 2010·Sports Medicine and Arthroscopy Review·Matthew J Bollier, Robert Arciero
Jun 16, 2011·The Physician and Sportsmedicine·Oke A Anakwenze, G Russell Huffman
Jun 17, 2011·Journal of Orthopaedic Surgery and Research·Barak HavivDaniel Biggs
Jul 2, 2011·Orthopedics·Oke A AnakwenzeG Russell Huffman
Aug 2, 2011·The American Journal of Sports Medicine·Just A van der LindeW Jaap Willems
Aug 9, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Min Jung ParkJohn D Kelly
Nov 15, 2011·Journal of Shoulder and Elbow Surgery·Julius S BishopMininder S Kocher
Jan 31, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Akira AndoEiji Itoi
Feb 10, 2012·The Journal of Bone and Joint Surgery. American Volume·Anup A ShahJon J P Warner
Apr 5, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Matthew T ProvencherAnthony A Romeo
Apr 11, 2012·The Journal of Bone and Joint Surgery. American Volume·Pascal BoileauMatthias Zumstein
Sep 18, 2012·The American Journal of Sports Medicine·Francesco FranceschiVincenzo Denaro

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Citations

May 5, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Charles MeltzerAlvina Sundang
Oct 25, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Benjamin BockmannWolfgang Nebelung

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