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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVIII | Pages 19 - 19
1 Jun 2012
Sethi A Jamal B Al-Badran L Weinand C Drobetz H Ehrendorfer S
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Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current controversies centre on the role of open and arthroscopic techniques. We describe the outcomes of a new mini-incision surgical (MIS) technique which was developed within our institution.

27 patients with traumatic shoulder instability (2 bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 31 years and the mean follow up period was 53 months. 29 shoulders underwent diagnostic shoulder arthroscopy and mini-incision surgery using a delto-pectoral approach and 3 bio-absorbable anchors.

Patients reported no re-dislocation in 24 shoulders (83%). 5 shoulders, including one with a bony Bankart lesion, re-dislocated with additional trauma. One shoulder required revision to a Bristow-Latarjet. Satisfaction was very good in 16 and good in 9 shoulders (83%). 19 patients had minimal or no pain. 8 patients experienced moderate shoulder pain with the other two complaining of severe pain. QuickDASH scores were encouraging.

Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation gained in open Bankart surgery. Functionally, patients do well. The higher than expected re-dislocation rate is concerning. We advise that long term outcomes are needed.


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 6 | Pages 837 - 840
1 Jun 2005
Azzopardi T Ehrendorfer S Coulton T Abela M

We performed a prospective, randomised study on 57 patients older than 60 years of age with unstable, extra-articular fractures of the distal radius to compare the outcome of immobilisation in a cast alone with that using supplementary, percutaneous pinning.

Patients treated by percutaneous wires had a statistically significant improvement in dorsal angulation (mean 7°), radial length (mean 3 mm) and radial inclination (mean 3 mm) at one year. However, there was no significant difference in functional outcome in terms of pain, range of movement, grip strength, activities of daily living and the SF-36 score except for an improved range of movement in ulnar deviation in the percutaneous wire group. One patient developed a pin-track infection which required removal of the wires at two weeks.

We conclude that percutaneous pinning of unstable, extra-articular fractures of the distal radius provides only a marginal improvement in the radiological parameters compared with immobilisation in a cast alone. This does not correlate with an improved functional outcome in a low-demand, elderly population.


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 5 | Pages 777 - 777
1 Jul 2004
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 3 | Pages 558 - 558
1 May 1999
EHRENDORFER S READING A


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 2 | Pages 372 - 372
1 Mar 1999
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 2 | Pages 368 - 368
1 Mar 1999
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 5 | Pages 933 - 933
1 Sep 1998
EHRENDORFER S


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 5 | Pages 933 - 933
1 Sep 1998
EHRENDORFER S