Do nonsteroidal anti‐inflammatory drugs affect the outcome of arthroscopic B ankart repair?

• Published in: Scandinavian journal of medicine & science in sports 2014-12, Vol.24 (6)
• Main Authors: Blomquist, J., Solheim, E., Liavaag, S., Baste, V., Havelin, L. I.
• Format: Article
• Language: English
• ISSN: 0905-7188; 1600-0838
• DOI: 10.1111/sms.12233

To achieve pain control after arthroscopic shoulder surgery, nonsteroidal anti‐inflammatory drugs ( NSAID s) are a complement to other analgesics. However, experimental studies have raised concerns that these drugs may have a detrimental effect on soft tissue‐to‐bone healing and, thus, have a negative effect on the outcome. We wanted to investigate if there are any differences in the clinical outcome after the arthroscopic B ankart procedure for patients who received NSAID s prescription compared with those who did not. 477 patients with a primary arthroscopic B ankart procedure were identified in the N orwegian shoulder instability register and included in the study. 32.5% received prescription of NSAID s post‐operatively. 370 (78%) of the patients answered a follow‐up questionnaire containing the W estern O ntario S houlder I nstability index ( WOSI ). Mean follow‐up was 21 months. WOSI at follow‐up were 75% in the NSAID group and 74% in the control group. 12% of the patients in the NSAID group and 14% in the control group reported recurrence of instability. The reoperation rate was 5% in both groups. There were no statistically significant differences between the groups. Prescription of short‐term post‐operative NSAID treatment in the post‐operative period did not influence on the functional outcome after arthroscopic B ankart procedures.