Abstract
The results of laser-assisted capsular shrinkage (LACS) in combination with arthroscopic
refixation of the capsulolabral avulsion are compared to those of an arthroscopic
Bankart repair alone. In a prospective study, an arthroscopic LACS in combination
with a multiple suture capsulolabral refixation according to Caspari and Savoie (Am.
J. Sports Med. 12 (1984) 283) was performed from July 1997 to April 1999 on 22 nonselected
patients. The clinical results were compared to those of 20 patients following anterior
shoulder stabilization according to Caspari without LACS from January 1992 to June
1997. The average follow-up was 59 (21–81) months for the Caspari only and 24 (7–48)
months for the Caspari + LACS-group. The observed redislocation rate was reduced to
5% (1/22) through the additional capsular shrinkage, from the initially observed 25%
(5/20) of the Caspari only group. A total of 82% of the patients with additional laser
shrinkage had a “very good” or “good” outcome when evaluated by Young and Rockwood
(J. Bone Joint Surg.73 A (1991) 1) shoulder score, compared to 50% after capsulolabral
repair alone. The data show that a capsulolabral repair in combination with LACS provides
significantly better clinical results and a lower recurrence rate than the capsulolabral
repair alone.
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Article info
Publication history
Accepted:
February 7,
2002
Identification
Copyright
© 2002 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
