Glenohumeral instability. results with bristow technique
Abstract
BackgroundRecurrent shoulder dislocation is a common condition in young and active patients. There are numerous surgical techniques for the resolution of glenohumeral instability. Bristow technique is criticized for not being anatomic and for its complications, but it remains a useful procedure because of the low rate of recurrent dislocations. The purpose of this study was to determine the rate of recurrence, functional impairment and rate of graft union.MethodsTwenty four men aged 19-40 years treated for recurrent anterior shoulder luxation with Bristow procedure were evaluated between January 2003 and August 2011. Postsurgical recurrence and joint function were evaluated clinically (Constant score) and with complementary methods (X-ray/CT). Surgical complications were registered.ResultsAll patients were males aged 19-40 years. A traumatic cause was detected in all patients. Sixteen patients presented >3 episodes of dislocation before the surgical procedure. According to the Constant scale, 21 patients had 96-100 points, and the remaining obtained 90-95 points. No episode of redislocation was detected. Computed tomography showed consolidation in all cases. One patient had an osteolytic image around the screw, but it was not reflected in the functional state of the shoulder.ConclusionBristow technique for the treatment of recurrent dislocation of the shoulder showed low rate of complications with excellent and good functional results. There were no cases of redislocations and consolidation of the graft was achieved in all cases.Downloads
References
Rockwood CA, Young DC. Complications of a failed Bristow procedure and their management. J Bone Joint Surg 1991;73:969-
Crespo M. La inestabilidad de hombro en el deporte. Rev Asoc Arg Ortop Traumatol 1993;58(4):488-93.
Moya D. Inestabilidades glenohumerales traumáticas. Rev Asoc Ortop Traumatol 1997;62(6):22-30.
Robinson M, Howes J, Murdoch H. Functional outcome and risk of recurrent instability after primary traumatic anterior
shoulder dislocation in young patients. J Bone Joint Surg 2006;88:2326-36.
Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br 1958;40(2):98-202.
Flint Kuran y D’Amico Rev Asoc Argent Ortop Traumatol
Goutallier D, Allain J, Glorio C. Long term results of the Latarjet procedure for the treatment of anterior instability of the
shoulder. J Bone Joint Surg 1998;80:841-52.
Hovelius L, Korner L, Berg E. The coracoids transfer for recurrent dislocation of the shoulder. Technical aspect of the BristowLatarjet
procedure. J Bone Joint Surg 1983;65:926-34.
Torg JS, Balduini FC, Hensal FJ. A modified Bristow-Helfet-May procedure for recurrent dislocation and subluxation of the
shoulder. Report of two hundred and twelve cases. J Bone Joint Surg 1987;69:904-13.
Zuckerman JD, Matsen FA 3rd. Complications about the glenohumeral joint related to the use of screws and staples. J Bone
Joint Surg Am 1984;66:175-80.
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