How should we define failure after surgical shoulder stabilization?

摘要

To the Editor: With great interest, we read the systematic review by Harris et al.entitled "Long-Term Outcomes After Bankart Shoulder Stabilization," and we compliment the authors on their extensive and well-designed overview. They describe the long-term outcome, including recurrent instability, return to sport, postoperative osteoarthritis, and Rowe and Constant scores, after the most frequently used Bankart repair techniques, both open and arthroscopic. To keep their pooled data homogeneous, Harris et al. understandably included only those articles in which failures were defined as fully redislocated shoulders. This unfortunately excludes patient-reported subluxations, which would lead to a much higher failure rate. This raises a very important question: How should we define a failure after surgical treatment for anterior shoulder instability?