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A Comparison of Physical Therapy Protocols Between Open Latarjet Coracoid Transfer and Arthroscopic Bankart Repair

机译：开放式胶囊圆形转移与关节镜底板修复物理治疗方案的比较

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Context: Recent studies examining return to sport after traumatic shoulder instability suggest faster return-to-sport time lines after bony stabilization when compared with soft tissue stabilization. The purpose of the current study was to define variability across online Latarjet rehabilitation protocols and to compare Latarjet with Bankart repair rehabilitation time lines. Evidence Acquisition: Online searches were utilized to identify publicly available rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME)-accredited academic orthopaedic surgery programs. Study Design: Descriptive epidemiology study. Results: Of the 183 ACGME-accredited orthopaedic programs reviewed, 14 institutions (7.65%) had publicly available rehabilitation protocols. A web-based search yielded 17 additional protocols from private sports medicine practices. Of the 31 protocols included, 31 (100%) recommended postoperative sling use and 26 (84%) recommended elbow, wrist, and hand range of motion exercises. Full passive forward flexion goals averaged 3.22 +/- 2.38 weeks postoperatively, active range of motion began on average at 5.22 +/- 1.28 weeks, and normal scapulothoracic motion by 9.26 +/- 4.8 weeks postoperatively. Twenty (65%) protocols provided specific recommendations for return to nonoverhead sport-specific activities, beginning at an average of 17 +/- 2.8 weeks postoperatively. This was compared with overhead sports or throwing activities, for which 18 (58%) of protocols recommended beginning at a similar average of 17.1 +/- 3.3 weeks. Conclusion: Similar to Bankart repair protocols, Latarjet rehabilitation protocols contain a high degree of variability with regard to exercises and motion goal recommendations. However, many milestones and start dates occur earlier in Latarjet protocols when compared with Bankart-specific protocols. Consequently, variability in the timing of rehabilitation goals may contribute to earlier return to play metrics identified in the broader literature for the Latarjet procedure when compared with arthroscopic Bankart repair. Strength of Recommendation Taxonomy (SORT): Level C.
机译：背景信息：最近的研究在创伤后肩部不稳定后检查返回运动后，与软组织稳定相比，骨骼稳定后的速度恢复到运动时间线。目前研究的目的是在线Latarjet康复协议中定义可变性，并将Latarjet与Bankart修复康复时间线进行比较。有证据收购：在线搜索被利用，以确定来自认证理事会研究生医学教育（ACGME）的公开康复议定书 - 自我评估的学术矫形外科手术方案。研究设计：描述性流行病学研究。结果：在审查的183名ACGME认可的矫形计划中，14个机构（7.65％）有公开的康复议定书。基于Web的搜索从私人体育医学实践产生了17个附加协议。在包含的31项协议中，31（100％）推荐的术后吊带使用和26（84％）推荐的肘部，手腕和手动运动锻炼。术后全动前锋屈曲目标平均为3.22 +/-2.38周，主动运动范围平均始于5.22 +/- 1.28周，术后9.26 +/- 4.8周。二十（65％）议定书规定了返回非领头运动特定活动的具体建议，平均术后17 +/-2周。将其与开销体育或投掷活动进行比较，其中18名（58％）的协议推荐以相似平均17.1 +/- 3.3周。结论：与Bankart修复协议类似，Latarjet康复协议在练习和运动目标建议方面包含高度可变性。但是，与Bankart特定协议相比，许多里程碑和开始日期在Latarjet协议中发生。因此，与关节镜底盘修复相比，康复目标的时序在康复目标时期的变化可能涉及早期返回到Latarjet手术中的更广泛文献中所识别的度量。推荐强度分类（类别）：级C。

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