Table 4.
Summary of findings for open compared with arthroscopic labrum surgery in treatment of chronic post-traumatic shoulder instability
| Open compared with arthroscopic labrum surgery for prevention of recurrent dislocations in treatment of chronic post-traumatic shoulder instability | ||||||
|
Patient or population: chronic post-traumatic shoulder instability in general population Setting: surgical versus surgical management Intervention: open labrum surgery Comparison: arthroscopic labrum surgery | ||||||
| Outcome Number of participants (studies) |
Relative effect (95% CI) |
Anticipated absolute effects (95% CI) | Certainty | What happens | ||
| Arthroscopic | Open | Difference | ||||
| Redislocation rate after surgical intervention in treatment of chronic post-traumatic shoulder instability Follow-up: mean 2 years Number of participants: 269 (three RCTs) |
RR 0.43
(0.19 to 0.97) |
13.4% |
5.8%
(2.6 to 13.0) |
7.7% fewer
(10.9 fewer to 0.4 fewer) |
⨁⨁◯◯ Low* |
Open labrum repair seems to be beneficial in prevention of shoulder redislocations. |
*Rated down for serious risk of bias (lack of blinding) and serious imprecision.
RCT, randomised controlled trial; RR, relative risk.
Explanations for the Cochrane Summary of Findings table (http://www.cochranelibrary.com/about/explanations-for-cochrane-summary-of-findings-sof-tables.html)