For young people who have suffered their first shoulder dislocation, arthroscopic bankart repair surgery represents a cost-effective treatment option. This is according to a study carried out by researchers from the Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
The US team presented its findings at the recently held annual meeting of the American Orthopaedic Society for Sports Medicine (AOSSM). The results are based on published reports dealing with first-time shoulder repair arthroscopies performed on people aged 15 to 35 plus data from a survey involving 50 patients.
Presenting the findings to his audience in Chicago, Dr Ryan P. Donegan said that his team had used a Markov model as the basis for its conclusions. Such a model evaluates effectiveness by examining patient recovery in relation to actual surgery costs. In order to be considered cost-effective under this model the operation must cost less than $24,457, the probability of repeat dislocation must stand below 7% and the quality of life rating must be at least 0.86. The Dartmouth-Hitchcock study put treatment costs at $11,267, the re-dislocation probability stood at just 4% and the quality of life rating came in at 0.93. These are numbers indicating that shoulder repair arthroscopies are a cost-effective solution for patients aged between 15 and 35, Donegan stated.
This does not mean that doctors should disregard other treatment options, the report notes. The non-operative approach, which involves rest and physical therapy, can also deliver the desired results for some young people experiencing their first shoulder dislocation.