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The Journal of Bone and Joint Surgery (American) 83:952-953 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Arthroscopic Repair Versus Open Surgery for Shoulder Instability

Ioannis A. Karnezis, FRCS(Ed), FRCS(Glas), Partha P. Sarangi, FRCS(Ed), FRCS(Orth), Brian J. Cole, MD, MBA, John L’Insalata, MD, Jay Irrgang, PTATC and Jon J.P. Warner, MD

Corresponding author: Ioannis A. Karnezis, FRCS(Ed), FRCS(Glas) Department of Orthopaedic Surgery Level 3, Bristol Royal Infirmary Bristol BS2 8HW United Kingdom E-mail address: iakarnezis@bristol.ac.uk
Corresponding author: Brian J. Cole, MD, MBA Midwest Orthopaedics at Rush 1725 West Harrison Street, Suite 1063 Chicago, IL 60612

To The Editor:

We took great interest in the article "Comparison of Arthroscopic and Open Anterior Shoulder Stabilization. A Two to Six-Year Follow-up Study" (82-A: 1108-1114, August 2000), by Cole et al. We agree with the authors about the importance of comparing the outcomes of arthroscopic repair and open surgery for shoulder stabilization. However, we would like to comment on some of the issues that the authors have attempted to address.

The title of this article implies that the authors have compared the effectiveness of open procedures with that of arthroscopic methods in the treatment of recurrent shoulder instability. However, it is clear that patients with isolated Bankart lesions were treated arthroscopically while patients with evidence of anteroinferior capsular laxity were treated with an open procedure alone. The study groups were obviously different and were not randomized; therefore, direct comparison of the two methods cannot be made without the risk . . . [Full Text of this Article]


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