147 Arthroscopic Reduction Internal Fixation for Glenoid Fractures: A Systematic Review of the Outcomes and Complications
Abstract
With the advanced arthroscopic technique, arthroscopic reduction internal fixation (ARIF) is gaining popularity for Glenoid fractures with and without scapular involvement. ARIF offers a complete view of the articular surfaces and diagnoses and treats other associated injuries. ARIF provides less soft tissue trauma than open reduction internal fixation (ORIF). The aim of this systematic review is to look at the functional outcomes and complications of ARIF.
A systematic review of the PubMed, Embase, and Scopus databases was performed. The search terms included “glenoid fracture" OR "scapula fracture" AND “arthroscopic fixation" OR “arthroscopy” OR “arthroscopic reduction internal fixation”. Studies were limited to English publications with reported functional outcome measures and complications. Patient demographic characteristics, clinical outcomes including range of motion, outcome performance scores including ROWE score, visual analogue scale (VAS) and American Shoulder and Elbow Surgeons (ASES) Score and complications were extracted.
Five studies met the inclusion criteria. The participants ranged in age from 16 to 66, and the mean length of follow-up ranged from 6 to 70 months postoperatively. The mean ROWE scores for the ARIF group were significantly better postoperatively.
ARIF allows accurate diagnosis of the fracture pattern and associated injuries, in addition to representing a safe option to treat glenoid fractures with or without scapular fractures with fewer…
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Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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