Asian Journal of Orthopaedic Research

Introduction: Recent years have seen a significant transformation in treating anterior shoulder instability, with arthroscopic techniques challenging conventional open surgical methods. This study compares the clinical outcomes and advantages of arthroscopic repair with open surgery for managing anterior shoulder instability, providing insights into the changing landscape of orthopedic interventions.

Methodology: Our extensive review delves into the available literature to assess the use of arthroscopic surgery and open rotator cuff repair in patients with rotator cuff tears. We meticulously collected pertinent data by conducting thorough searches in electronic databases, encompassing research studies and review articles. Both arthroscopic and open surgical approaches yielded satisfactory clinical outcomes, with similar Rowe scores in our patient series.

Results: Arthroscopic repair is notable for its advantages, including reduced postoperative pain and improved aesthetics. The study underscores the importance of meticulous patient selection and technique optimization for successful capsulolabral reconstruction. Arthroscopic repair exhibits significant potential with enhanced visualization and smaller incisions. Advancements in arthroscopic techniques have addressed concerns about knot strength and highlighted the efficiency and safety of this approach.

Conclusions: The study's findings suggest that arthroscopic repair is as effective as open surgery in treating anterior shoulder instability. The appeal of reduced postoperative pain and improved aesthetics makes arthroscopic repair an attractive option. The evolving landscape in orthopedic surgery indicates the potential for arthroscopic techniques to outperform open repair, warranting further exploration and refinement in the field.