Can arthroscopic revision surgery for shoulder instability be a fair option?

Background: the aim of this study was to evaluate the role of arthroscopic capsuloplasty in the treatment of failed primary arthroscopic treatment of glenohumeral instability. Methods: we retrospectively examined at a mini- mum of 3-years follow-up 22 patients who under- went arthroscopic treatment between 1999 and 2007 who had recurrent anterior shoulder instabil- ity with a post-surgical failure. A statistical analysis was performed to evaluate which variable could influence the definitive re- sult and clinical outcomes at final follow-up. A p value of less than 0.05 was considered signifi- cant. Results: we observed after revision surgery an overall failure rate of 8/22 (36.4%) including frank dislocations, subluxations and also apprehension that seriously inhibit the patient's quality of life. No significant differences were observed in the examined parameters. Conclusions: according to our outcomes we gen-