Journal of Shoulder and Elbow Surgery
Volume 12, Issue 3 , Pages 237-241, May 2003

Arthrodesis as a salvage procedure for recurrent instability of the shoulder

Presented at the American Shoulder and Elbow Society Meeting; Kiawah Island, SC; April 1998.

  • J.Albert Diaz, MD

      Affiliations

    • Brookfield Orthopedic Associates, Brookfield, CT, USA
  • ,
  • Steven B Cohen, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Virginia Health Sciences Center, Charlottesville, VAb, USA
    • Corresponding Author InformationReprint requests: Steven B. Cohen, MD, Department of Orthopaedic Surgery, University of Virginia Health Center, 3337 Worth Crossing, Charlottesville, VA 22911, USA.
  • ,
  • Russell F Warren, MD

      Affiliations

    • Sports Medicine and Shoulder Service, The Hospital for Special Surgery, New York, NY, USA.
  • ,
  • Edward V Craig, MD

      Affiliations

    • Sports Medicine and Shoulder Service, The Hospital for Special Surgery, New York, NY, USA.
  • ,
  • Answorth A Allen, MD

      Affiliations

    • Sports Medicine and Shoulder Service, The Hospital for Special Surgery, New York, NY, USA.

Abstract 

The purpose of this study was to evaluate the efficacy of shoulder arthrodesis as a salvage procedure for recurrent shoulder instability. Eight patients with an average of seven prior stabilization attempts were reviewed retrospectively at a mean follow-up of 35 months (range, 24-83 months). The average time to bony union after arthrodesis was 3.5 months (range, 2.5-5 months). The patients reported significant overall subjective improvement as a group after fusion. None of the patients complained of instability postoperatively. All 8 stated that they would repeat the surgery again under similar preoperative circumstances. Despite limitations in function and residual pain, our results suggest that shoulder arthrodesis is a viable treatment option for patients with refractory shoulder instability.

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 No author or related institution has received financial benefit as a result of this study.

PII: S1058-2746(02)86883-5

doi:10.1016/S1058-2746(02)86883-5

Journal of Shoulder and Elbow Surgery
Volume 12, Issue 3 , Pages 237-241, May 2003