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Contraindications for Open Instability Surgery

In cases of concomitant severe arthritis, open instability repair may not be effective. Depending on the status of the osseous glenoid and surrounding rotator cuff, arthroplasty or arthrodesis may be better options.

Paralysis may also be associated with chronic instability and in such cases arthrodesis may be more successful in eliminating pain. Relative contraindications for open repair of anterior instability include voluntary or psychogenic instability and the presence of active infection.

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