Statistical modeling in pharmaceutical research and development.
Patients with recurrent shoulder instability after arthroscopic stabilization
1. Patients with recurrent shoulderPatients with recurrent shoulder
instability after arthroscopicinstability after arthroscopic
stabilizationstabilization
2. Moutafis CharalamposMoutafis Charalampos
• Age 19yrsAge 19yrs
• Athletics: football player 10h/wAthletics: football player 10h/w
• First dislocation at 19y, 2 dislocations pre-opFirst dislocation at 19y, 2 dislocations pre-op
• Bankart and Hillsachs lesionsBankart and Hillsachs lesions
• 2 GII anchors loaded with 2 sutures + RI closure2 GII anchors loaded with 2 sutures + RI closure
(PDS suture)(PDS suture)
• Normal RehabilitationNormal Rehabilitation
• Subluxation 11m post op after trauma in footballSubluxation 11m post op after trauma in football
match – conservative treatmentmatch – conservative treatment
• No apprehension 3 years afterNo apprehension 3 years after
3. Argyrou CharitosArgyrou Charitos
• Age 23 yrsAge 23 yrs
• Athletics: football 4h/wAthletics: football 4h/w
• 11stst
dislocation at 21y, 2dislocations + 2dislocation at 21y, 2dislocations + 2
subluxations preopsubluxations preop
• Bankart – Hillsachs – SlapII lesionsBankart – Hillsachs – SlapII lesions
• 3 panalok loaded with 1 suture + 2 panalok for3 panalok loaded with 1 suture + 2 panalok for
the Slap lesionthe Slap lesion
• Poor rehabilitationPoor rehabilitation
• Recurrence 16m post-op after low energyRecurrence 16m post-op after low energy
traumatrauma
• Second look arthroscopy 3y postop revealedSecond look arthroscopy 3y postop revealed
bony bankart, hillsachs healed slap lesionbony bankart, hillsachs healed slap lesion
4. Paouris StamatiosPaouris Stamatios
• Age 31yrsAge 31yrs
• Athletics: Martial Arts 15h/wAthletics: Martial Arts 15h/w
• 11stst
dislocation at 20yrs, 20 dislocations pre-opdislocation at 20yrs, 20 dislocations pre-op
• Large Hillsachs lesion – extensive Bankart lesionLarge Hillsachs lesion – extensive Bankart lesion
with small bony defectwith small bony defect
• 2 anchors biofastak double sutures one anchor2 anchors biofastak double sutures one anchor
panalok simple non absorbable suture + RIpanalok simple non absorbable suture + RI
closure (PDS)closure (PDS)
• Recurrence 11m post-op during a Kick – BoxingRecurrence 11m post-op during a Kick – Boxing
matchmatch
5. Christodoulou MichailChristodoulou Michail
• Age 34yrsAge 34yrs
• Athletics: Climbing, Extreme SportsAthletics: Climbing, Extreme Sports
• 11stst
dislocation at 34y, 4 subluxationsdislocation at 34y, 4 subluxations
• Bankart – Hillsachs – SlapII lesionsBankart – Hillsachs – SlapII lesions
• 3 panalok loaded with 1 suture + 1 panalok for3 panalok loaded with 1 suture + 1 panalok for
the Slap lesionthe Slap lesion
• Recurrence 23m post-op after violent traumaRecurrence 23m post-op after violent trauma
during snowboardduring snowboard
• Second look: Bankart with small bony defect,Second look: Bankart with small bony defect,
slap, hillsachs lesion.slap, hillsachs lesion.
6. Ispyropoulos SocratesIspyropoulos Socrates
• Age 22yrsAge 22yrs
• Athletics:Athletics: Hokey on GrassHokey on Grass
• 11stst
dislocation at 16y, 20 pre-opdislocation at 16y, 20 pre-op
• Capsular subluxationCapsular subluxation
• 1 fastak – 4 panalok anchors loaded with 1 suture1 fastak – 4 panalok anchors loaded with 1 suture
• Poor rehabilitationPoor rehabilitation
• Recurrence 10m post-op after low energy traumaRecurrence 10m post-op after low energy trauma
• Second look revealed inverted pear lesion, hillsachs andSecond look revealed inverted pear lesion, hillsachs and
capsular sprain.capsular sprain.
• 4 years after second look arthroscopy no apprehension,4 years after second look arthroscopy no apprehension,
full range of motion and activity.full range of motion and activity.
7. Apostolou TheodorosApostolou Theodoros
• Age 25yrsAge 25yrs
• Athletics: Varius activities 4h/wAthletics: Varius activities 4h/w
• 11stst
dislocation at 22yrs, 5 dislocations pre-dislocation at 22yrs, 5 dislocations pre-
opop
• Bankart – Hillsachs lesionsBankart – Hillsachs lesions
• 3 panalok anchors loaded with 1 suture3 panalok anchors loaded with 1 suture
• 16m post op subluxation after trauma16m post op subluxation after trauma
8. Korakis KonstantinosKorakis Konstantinos
• Age 20yrsAge 20yrs
• Athletics noneAthletics none
• 11stst
dislocation at 18y, 6 dislocations pre-opdislocation at 18y, 6 dislocations pre-op
• Bankart – large Hillsachs lesionBankart – large Hillsachs lesion
• 3 panalok anchors loaded with 1 PDS3 panalok anchors loaded with 1 PDS
• Normal RehabilitationNormal Rehabilitation
• Subluxation 17m post-opSubluxation 17m post-op
9. Liarodimou IoannaLiarodimou Ioanna
• Age 30yrsAge 30yrs
• Athletics noneAthletics none
• 11stst
dislocation at 26y, 6 dislocations pre-opdislocation at 26y, 6 dislocations pre-op
• ALPSA lesionALPSA lesion
• 3 panalok anchors loaded with 1 PDS3 panalok anchors loaded with 1 PDS
• Excellent rehabilitationExcellent rehabilitation
• Recurrence 6yrs post-op after MVARecurrence 6yrs post-op after MVA
10. Arhontis VasiliosArhontis Vasilios
• 17yrs17yrs
• Athletics noneAthletics none
• 11stst
dislocation at 16y, 3 dislocations pre-opdislocation at 16y, 3 dislocations pre-op
• Bankart, extensive Hillsachs, meniscoid labrumBankart, extensive Hillsachs, meniscoid labrum
• 4 panalok anchors loaded with 1 suture + RI4 panalok anchors loaded with 1 suture + RI
closure (1PDS)closure (1PDS)
• Recurrence 34m post-op after violent fallRecurrence 34m post-op after violent fall
• Conservative treatment. Still has + aprehensionConservative treatment. Still has + aprehension
11. Kakampouras AggelosKakampouras Aggelos
• Age 21yrsAge 21yrs
• Athletics football 4h/wAthletics football 4h/w
• 11stst
dislocation at 17y, 4 dislocations pre-opdislocation at 17y, 4 dislocations pre-op
• Bankart, Hillsachs lesionsBankart, Hillsachs lesions
• 1 fastak + 3 panalok anchors loaded with1 fastak + 3 panalok anchors loaded with
1 suture1 suture
• Recurrence 48m post-op after MVARecurrence 48m post-op after MVA
• Second look arthroscopy revealed ALPSASecond look arthroscopy revealed ALPSA
lesion and hillsachs.lesion and hillsachs.
12. Galasis DimitriosGalasis Dimitrios
• Age 23yrsAge 23yrs
• Athletics Varius activitiesAthletics Varius activities
• Recurrence of open shoulder instabilityRecurrence of open shoulder instability
repairrepair
• 11stst
dislocation at 13y, 3 dislocations beforedislocation at 13y, 3 dislocations before
11stst
surgerysurgery
• Bankart, Hillsachs, SlapIIIBankart, Hillsachs, SlapIII
• 4 panalok anchors loaded with 1 suture4 panalok anchors loaded with 1 suture
• Recurrence 31m post-op after traumaRecurrence 31m post-op after trauma
13. Dimitriadis GeorgeDimitriadis George
• Age 18yrsAge 18yrs
• 11stst
dislocationdislocation
• Bankart LesionBankart Lesion
• 4 panalok anchors loaded with 1 suture4 panalok anchors loaded with 1 suture
• Poor rehabilitationPoor rehabilitation
• Reccurence 12m post-op while swimmingReccurence 12m post-op while swimming
• Over 5 dislocations after surgeryOver 5 dislocations after surgery
• No dislocation the past 2 yearsNo dislocation the past 2 years
14. Vamvas AnastasiosVamvas Anastasios
• Age 20yrsAge 20yrs
• Recurrence 24m post op after weightRecurrence 24m post op after weight
liftinglifting
• 10 dislocations after surgery10 dislocations after surgery
• Never appeared for post-op examinationNever appeared for post-op examination