{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:46:16Z","timestamp":1791999976220,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,9,10]],"date-time":"2014-09-10T00:00:00Z","timestamp":1410307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,9,10]],"date-time":"2014-09-10T00:00:00Z","timestamp":1410307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2014,9,10]],"date-time":"2014-09-10T00:00:00Z","timestamp":1410307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["arthroscopyjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Shoulder instability frequently recurs in young patients without operative treatment. Both open and arthroscopic approaches to shoulder stabilization with labral repair and capsulorrhaphy have been described and are routinely used. Multiple trials have been conducted to compare these approaches, with multiple meta\u2010analyses performed to synthesize these trials; however, the results remain controversial. The purpose of this study was to critically evaluate the current meta\u2010analyses to identify the current state of the art.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this study we evaluate available scientific support for the ability of both arthroscopic and open soft\u2010tissue stabilization techniques to restore stability of the shoulder by performing a systematic review of the literature for previous meta\u2010analyses. Data were extracted for rates of recurrence and patient outcomes. Study quality was measured with the Oxman\u2010Guyatt and QUOROM (Quality of Reporting of Meta\u2010analyses) systems. The Jadad algorithm was applied independently by 4 authors to determine which meta\u2010analysis provided the highest level of available evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After application of the inclusion and exclusion criteria, 8 meta\u2010analyses were included. Both studies published prior to 2007 concluded that open stabilization provided lower recurrence rates than arthroscopic stabilization, the 3 studies published in 2007 are discordant, and all 3 studies published after 2008 concluded that open and arthroscopic stabilization provided equivalent results. Two meta\u2010analyses had low Oxman\u2010Guyatt scores (&lt;3) signifying major flaws. Four authors independently selected the same meta\u2010analysis as providing the highest quality of evidence using the Jadad algorithm, and this meta\u2010analysis found no difference in recurrence rates between open and arthroscopic stabilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review of overlapping meta\u2010analyses comparing arthroscopic and open shoulder stabilization suggests that according to current best available evidence, there are no significant differences in failure rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level I through IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.07.008","type":"journal-article","created":{"date-parts":[[2014,9,10]],"date-time":"2014-09-10T03:51:15Z","timestamp":1410321075000},"page":"355-363","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":61,"title":["Do Arthroscopic and Open Stabilization Techniques Restore Equivalent Stability to the Shoulder in the Setting of Anterior Glenohumeral Instability? A\u00a0Systematic Review of Overlapping Meta\u2010analyses"],"prefix":"10.1002","volume":"31","author":[{"given":"Peter N.","family":"Chalmers","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"Mascarenhas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Leroux","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli T.","family":"Sayegh","sequence":"additional","affiliation":[{"name":"College of Physicians and Surgeons Columbia University New York New York 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