{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:25:03Z","timestamp":1791419103861,"version":"4.3.3"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report mid\u2010term outcomes of active\u2010duty patients with anterior shoulder instability following our technique for double\u2010pulley remplissage (DPR) with concomitant anterior labral repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consecutive patients from 1\/2010 through 12\/2016 that underwent DPR by the senior surgeon with complete outcome scores were identified. All patients had experienced a shoulder dislocation following a traumatic event, and had subsequent instability recalcitrant to conservative management. Patients were excluded if they were lost to follow\u2010up (3) of if they underwent stabilization procedures other than DPR (148). Outcome measures were completed by patients within 1 week prior to surgery and at latest follow\u2010up. Twenty\u2010four patients met the inclusion criteria for the study, and all were active\u2010duty military at the time of surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      20\/24 (83.3%) patients met the patient acceptable symptomatic state (PASS), while 21\/24 (87.5%) achieved substantial clinical benefit (SCB) and 22\/24 (91.7%) exceeded the minimal clinically important difference (MCID) for their operative shoulder, as determined by the American Shoulder and Elbow Surgeons (ASES) Score. 21\/24 (87.5%) patients met the PASS, while 19\/24 (79.2%) achieved SCB and 20\/24 (83.3%) exceeded the MCID for their operative shoulder, as determined by the single assessment numeric evaluation (SANE). In addition, 23\/24 (95.8%) patients exceeded the MCID for their operative shoulder, as determined by the Rowe Instability score. Preoperative and postoperative range of motion did not vary significantly. All patients had decreased pain postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001); 22\/24 (91.67%) of patients remained on active\u2010duty status. Failure rate, defined as recurrent subluxation or dislocation, was 4.2%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mid\u2010term outcomes in this population of active\u2010duty patients undergoing DPR for shoulder instability without glenoid bone loss demonstrate a statistically and clinically significant improvement in patient\u2010reported outcomes, a significant decrease of pain and an overall return to active\u2010duty rate of 91.67%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.09.003","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T01:52:28Z","timestamp":1631584348000},"page":"743-749","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Double\u2010Pulley Remplissage in Active\u2010Duty Military Population With Off\u2010Track Anterior Shoulder Instability Results in Improved Outcomes and Low Recurrence at Minimum 4\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"38","author":[{"given":"John P.","family":"Scanaliato","sequence":"first","affiliation":[{"name":"William Beaumont Army Medical Center Department of Orthopaedic Surgery El Paso Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Dunn","sequence":"additional","affiliation":[{"name":"William Beaumont Army Medical Center Department of Orthopaedic Surgery El Paso Texas 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