2023 ISAKOS Biennial Congress ePoster
Epidemiology of Shoulder Instability Procedures: An Analysis of Complications and Costs
Amil Agarwal, BS, Baltimore, MD UNITED STATES
Jacob D Mikula, MD, Baltimore, MD UNITED STATES
Suresh K Nayar, MD, Baltimore UNITED STATES
Sribava Sharma, MS, Baltimore, MD UNITED STATES
Matthew J Best, MD, Baltimore, MD UNITED STATES
Edward G. McFarland, Lutherville, MD UNITED STATES
Uma Srikumaran, MD, MBA, MPH, Columbia, MD UNITED STATES
Johns Hopkins University, Baltimore, MD, UNITED STATES
FDA Status Not Applicable
Summary
Anterior bone block reconstruction and Latarjet procedures were associated with the highest rates of 90-day medical and surgery-specific complications, while arthroscopic Bankart repair was associated with the highest costs.
ePosters will be available shortly before Congress
Abstract
Background
Recurrent shoulder instability is a debilitating condition that can lead to chronic pain, decreased function, and inability to return to activities or sport. This retrospective epidemiology study was performed to report 90-day postoperative complications and costs of Latarjet, anterior bone block reconstruction, arthroscopic and open Bankart repair for shoulder instability.
Methods
Patients 18 years and older who underwent four primary shoulder surgeries from 2010-2019 were identified using national claims data. Patient demographics, comorbidities, and 90-day postoperative complications were analyzed using univariate analysis and multivariable logistic regression. Total and itemized 90-day reimbursements were determined for each procedure.
Results
The 90-day medical and surgery-specific complication rates were highest for anterior bone block reconstruction, followed by Latarjet. Arthroscopic Bankart repair had the highest 90-day costs and primary procedure costs compared to other procedures.
Conclusion
Anterior bone block reconstruction and Latarjet procedures were associated with the highest rates of 90-day medical and surgery-specific complications, while arthroscopic Bankart repair was associated with the highest costs.