The results of the Putti-Platt operation with particular reference to arthritis, pain, and limitation of external rotation

The Effect of the Remplissage Procedure on Shoulder Stability and Range of Motion

“…However, the increase in joint stiffness that occurred with the remplissage procedure, and the associated restriction in motion from the capsulodesis effect, can also be grounds for concern. Other procedures that have previously been noted to have this effect, such as the Putti-Platt operation for anterior instability, have been associated with the development of arthritis [35][36][37] . The largest increase in joint stiffness occurred after remplissage of the 15% Hill-Sachs defects.…”

BESS/BOA Patient Care Pathways

“…Despite this, a number of non-anatomic repairs have been utilized, the most common being the Putti-Platt procedure. [26][27][28] This procedure shortened the subscapularis tendon by tenotomy and repair with the lateral end sutured to the anterior glenoid rim and the medial part sutured to its original insertion, effectively 'double breasting' the tendon. .…”

“…Other cohort studies, however, have shown not only an increase in recurrence rates with non-anatomic repair (27) but also an increased incidence of early glenohumeral osteoarthritis. 28,29 Summary: Non-anatomic repair is associated with an increased risk of secondary osteoarthritis, pain and reduction in movement without any perceived reduction in redislocation rates. Anatomic repair is therefore recommended as the surgery of choice when surgical intervention is indicated.…”

Omarthrose centrée et excentrée

“…Dans les interventions de rétention des parties molles (Puti-Platt, rétention antérieure de la capsule), une tension excessive de la réparation a été mise en cause, de même la présence de matériel métallique (agrafes ou vis) semble augmenter le risque. De nombreuses études semblent aller dans ce sens : Hovelius [15] dans une série comparative de butée et d'intervention de Bankart retrouvait 16 arthroses sur 26 épaules traitées par Bankart alors qu'il n'y en avait que 9 sur 30 dans les butées ; Van der Swaag [16] dans une série de 66 épaules traitées 22 ans auparavant par intervention de Putti-Platt retrouvait 61 % de signes d'arthrose, 6 % avaient une arthrose sévère ; Kiss avec 9 ans de recul sur 90 épaules retrouvait une incidence d'arthrose de 30 % [17].…”