Arthroscopic bankart repair surgery is a cost-effective approach for patients suffering their first shoulder dislocation, according to research presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting in Chicago, IL.
"We based our conclusions on a Markov model, which takes into account how surgery affects the patient's recovery in relation to the actual costs of medical treatment," commented Ryan P. Donegan, MD, MS, from Dartmouth-Hitchcock Medical Center in Lebanon, NH. "For surgery to be cost-effective in this model, expenses must be under $24,457, the probability of re-dislocation must be under 7 percent, and the quality of life rating must not fall below 0.86. Our research showed surgical costs of $11,267, probability of re-dislocation at only 4 percent and quality of life rating of 0.93 – numbers suggesting surgery is a good investment for these patients."
Researchers drew data from literature reporting on first-time shoulder-repair arthroscopies in patients 15-35 years old, as well as a 50-patient survey approved by the Dartmouth-Hitchcock Medical Center's Institutional Review Board.
"Shoulder dislocations are one of the most common orthopaedic issues today, and our research shows that – after weighing all the options – surgery can be both helpful to the recovery process and cost-effective," noted Donegan.
Researchers note that non-operative treatment based on rest and physical therapy should still be considered an effective treatment option for patients.
The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine education, research, communication and fellowship, and includes national and international orthopaedic sports medicine leaders. The Society works closely with many other sports medicine specialists, including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. AOSSM is also a founding partner of the STOP Sports Injuries campaign to prevent overuse and traumatic injuries in kids. For more information on AOSSM or the STOP Sports Injuries campaign, visit http://www.sportsmed.org or http://www.stopsportsinjuries.org