AOSSM Specialty Day 2023 with ISAKOS with CME-3. AOSSM-ISAKOS - Session I

Video Transcription

Video Summary

In this video, the presenter discusses the impact of immobilization on short-term clinical outcomes after open Latarje procedure for traumatic anterior shoulder instability. They conducted a randomized controlled trial comparing patients who wore a sling for three weeks post-surgery with those who did self-rehabilitation without a sling. The primary outcome measured at six months was functional outcome, and secondary outcomes included pain score and graft union assessed by CT scan. The results showed no significant difference between the groups in terms of functional outcomes, pain score, or instability score. The study also found a low rate of fibrous graft nonunion, with no increase in complication rates without postoperative sling immobilization. As a result, the presenter modified their practice and stopped using slings after open Latarje surgery. No credits were mentioned in the video.

Keywords

immobilization

short-term clinical outcomes

open Latarje procedure

traumatic anterior shoulder instability

randomized controlled trial