Laser-assisted thermal capsulorrhaphy

摘要: Abstract Purpose: The purpose of this study was to review the clinical results laser-assisted thermal capsulorrhaphy in patients with glenohumeral instability. Type Study: A case series consecutive shoulder instability treated by one surgeon. Methods: From 1994 through 1997, 60 shoulders 59 (27 men, 32 women) no previous surgery underwent capsulorrhaphy. direction classified as anterior 30, posterior 7, anteroposterior 4, and multidirectional (MDI) 19. Patients were evaluated on basis pain, recurrent instability, function, satisfaction. Results: Nine lost follow-up evaluation, 9 revision (7 MDI, 1 anterior, I posterior). Of remaining 42 patients, none further surgery; average time 38.4 months (range, 24 66 months); pain scores improved from 7.8 ± 2.6 (1–10 scale) 1.7 2.6. postoperatively. In addition, 86% reported or rare episodes compared 37% preoperatively. Painless overhead use 12% 73%. Scores based American Shoulder Elbow Surgeons (ASES) rating system 61.0 89.5 15.0 ( P Conclusions: Based these results, we conclude that is an effective adjunct treatment MDI technique have high failure rates. We recommend caution when approaching technique.