Laser-assisted capsulorrhaphy for multidirectional instability of the shoulder

Purpose: The purpose of this study was to review the clinical results of la ser-assisted capsulorrhaphy performed on 27 shoulders in 26 patients for mu ltidirectional shoulder instability with minimum follow-up of 2 years. Type of Study: Prospective case series. Methods: Laser shrinkage was performed on the entire capsule. In patients in whom the rotator interval did not shr ink, suture plication of this area was performed. All patients were evaluat ed with respect to the incidence of recurrent instability, need for reopera tion, and ability to return to their previous level of activity or sports p articipation. In addition, all patients were rated as satisfactory or unsat isfactory using criteria established by Near. Results: Twenty-six of 27 sho ulders (96%) remained stable and asymptomatic a minimum of 2 years after su rgery. Of 14 athletes in the study group, 12 (86%) returned to their previo us level of sports participation. Conclusion: Our results suggest that lase r-assisted capsulorrhaphy is an effective treatment alternative for multidi rectional instability.