Purpose
The purpose of this study was to evaluate the outcomes of patients 5 years postoperatively
following arthroscopic SLAP repair, and to evaluate factors associated with satisfaction.
Methods
A retrospective review of patients who underwent SLAP repair with a minimum of 5-year
follow-up was performed. Recurrence, visual analog scale (VAS) score, Subjective Shoulder
Value (SSV), American Shoulder & Elbow Surgeons (ASES) score, satisfaction, whether
they would undergo the same surgery again, and the rate, level and timing of return
to play (RTP) were evaluated. Multilinear regression models were used to evaluate
factors affecting postoperative satisfaction.
Results
Overall, 122 patients who underwent SLAP repair were included, with a mean age of
33.4 years. 81% were males, and 58.2% were participating in sport preoperatively.
The mean follow-up was 86.4 ± 14.4 months. At final follow up, the mean satisfaction
was 87.7%, and the mean SSV was 82.9. Overall, the rate of RTP was 85.9%, with 64.8%
returning at the same level at a mean of 10.5 ± 8 months. Ultimately, 13 (10.7%) patients
had a further surgery, including 10 (8.2%) patients that had a biceps tenodesis. VAS
during sport (P = .025), SSV (P < .001), and time to RTP (P = .0056), were associated with higher satisfaction.
Conclusion
There was a high rate of satisfaction at 5-year follow-up, with excellent patient-reported
outcomes but with one-tenth of patients requiring revision surgeries. Additionally,
while there was an overall high rate of RTP, there was only a modest rate of RTP at
their preinjury level, and overhead athletes took longer to RTP.
Level of Evidence
IV, case series.
Key Words
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Article info
Publication history
Published online: February 03, 2022
Accepted:
January 27,
2022
Received:
August 1,
2021
Footnotes
The authors report the following potential conflicts of interest or sources of funding: K.A.C. reports personal fees from Samumed, outside the submitted work. M.J.A. reports grants from Arthrex, outside the submitted work. L.M.J reports grants from Arthrex, Mitek, and Smith & Nephew, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
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© 2022 by the Arthroscopy Association of North America
