The modified Bristow-Helfet procedure for recurrent anterior shoulder subluxations and dislocations

Abstract

A review of 107 cases in which the Bristow-Helfet procedure was done for recurrent anterior shoulder subluxation and dislocation is presented. The redislocation rate was 2% with very few complications. Eighty-nine percent of the patients were satisfied with the procedure. Mean loss of external rotation was 12.6 degrees. Six of the 41 patients with dominant shoulder surgery were capable of throwing in the same manner as they did prior to injury. Five of 24 patients (21%) with a diagnosis of recurrent anterior subluxation continued to have symptoms of instability following surgery. Associated symptoms of posterior or voluntary subluxation may preclude a satisfactory result.

A biodegradable expansion plug for fixation of the coracoid bone block in the Bristow-Latarjet operation

“…In the remaining 29 cases, fixation was secure with no migration, a complication which has been previously reported [ 14,18,36]. We also had no redislocations, although an incidence of up to 6% has been reported after the Bristow-Latarjet procedure [ll, 13,16,18,20,28,31], with an average loss of external rotation of between 5 ° and 30 ° [9,11,13,16,18,20,28].…”

“…Further problems were backing out of the screw, considered to be responsible for pain, in 12 patients, impingement between the screw or its washer and the humeral head in 5, and removal of a prominent screw in 3 [37]. Loose, broken, bent or migrated metal screws causing discomfort have been reported in other studies [11,14,18,20,31].…”

“…The Bristow-Latarjet procedure is an established operation for recurrent anterior dislocation of the gleno-humeral joint [9,11,13,14,16,18,19,28,31,36]. Numerous complications have been reported which have led to the removal of metal devices used to fix the transferred coracoid bone block [1,8,11,13,15,18,20,31,37].…”

“…Numerous complications have been reported which have led to the removal of metal devices used to fix the transferred coracoid bone block [1,8,11,13,15,18,20,31,37]. Consequently, routine removal of the device has been recommended [1,8], or the use of staples or screws has been avoided when possible [37].…”

The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders

“…1,4,9,[12][13][14][17][18][19]22,23,25,27,30,31,[33][34][35][36][37] Initially, as performed by Bristow and described by Helfet, 11 the coracoid was just placed beneath the subscapularis muscle without screw fixation. Latarjet 22 used a screw to attach the flat posterior part of the coracoid to the glenoid neck.…”