An Evaluation of the Putti-Platt Reconstruction Procedure for Recurrent Dislocation of the Shoulder

Osteoarthrosis after the Max Lange procedure for unstable shoulders

“…This lateralisation has been associated with the greatest restriction of external rotation at long-term follow-up [2,6,7,11,12], and this may protect against recurrence of the dislocation [4,7,8,12] as shown in our study. The Putti-Platt repair also produces restricted external rotation [4,5,9], although it has been suggested that this limitation is only temporary and needs not to be treated [7,12].…”

“…The reported results of operations for dislocation of the shoulder are mainly concerned with the recurrence rate [1,2,5,8], but pain, limitation of movement and osteoarthrosis are also documented [3,4,9,10]. Tight repair by anterior capsulorraphy may contribute to osteoarthrosis [4,9,11].…”

Functional Outcome Following Bristow and Boytchev Surgery in Recurrent Dislocation of Shoulder

“…The more frequent incidence of recurrent dislocation on the non-dominant side suggests that inferior muscular development and co-ordination may play a part in the aetiology of the condition. In the study of Brav (1955) 15,16,17 recurrence was twice as frequent on the left side as on the right and both of the left handed individuals in this group had right sided dislocations. In the series of Rowe (1978) 14,19 in the right handed patients there was no appreciable difference in the frequency of dislocation on the dominant and non-dominant sides, while in the left handed patients, there was a significantly increased incidence on the non-dominant side.…”

“…This indicates a male predominance. Brav (1955) 15,16,17 common in the male as in the female (323 males and 165 females) and the incidence of recurrence approximately twice as great in males as in females (66 percent of males; 30 per cent of females). The incidence in the published series naturally depends on the type of Population from which the cases were drawn.…”

“…This concludes that there does not seem to be an important difference in the incidence of dislocations on the right or left side nor does the non-dominant side tend to suffer primary or recurrent dislocation more frequently than the dominant side (Mosely 1961) 20, 21 . Complications and re-operations after Bristow shoulder stabilization: Griesser showed that dominant side involvement seems to be more than non dominant (64%) 15,16,17 . It was 7 of the 40 patients (17.5).…”