Arthroscopic shoulder stabilisation is an established treatment for recurrent instability. The FIFA 11+ has been used to decrease the rate of injury in sport as part of injury prevention. The FIFA11+S is focused on the Upper Limb and in particular the shoulder.
To report the clinical findings from a series of patients undergoing arthroscopic shoulder stabilisation and the effects of incorporating the FIFA 11+S into their post-operative rehabilitation.
A retrospective series of 30 patients undergoing arthroscopic shoulder stabilisation was reviewed. Two paired groups of 15 patients each were identified, those receiving the FIFA11+S (FIFA) as part of their rehabilitation and those who did not (No FIFA). Each patient underwent arthroscopic shoulder stabilisation in the form of labral (Bankart) repair using knotless anchor fixation and suture tape. Each was assessed for number of post-operative dislocations and Oxford Shoulder Instability Score (OSIS).
The mean post-op OSIS for the FIFA group was 43.6 and there were no post-operative dislocations. The mean post-op OSIS for the No FIFA group was 39.4 with 2 post-operative dislocations in this group. There was no statistically significant difference observed (p=0.19). A sample size of 39 patients in each group was calculated to be required to observe a statistical difference.
The FIFA 11+S has been introduced as an injury prevention technique, we suggest it should also be used to supplement rehabilitation following shoulder stabilisation surgery as it is suggested that its use provides a beneficial effect on post-operative outcome.
We believe that the FIFA 11+S should be used as an adjunct to post-operative shoulder stabilisation rehabilitation. A larger study would confirm the suggested benefit.