Abstract
The Du Toit open capsuloplasty for the treatment of anterior shoulder instability is based on the concept of restoring joint stability by recreating the integrity of the anterior glenoid labrum and inferior gleno-humeral ligament using staples. The long-term validity of this procedure for the treatment of anterior shoulder instability was retrospectively assessed by a clinical or telephone interview and radiographic evaluation in 58 patients with an average 35-year follow-up between 1948 and 1974. The range of motion was evaluated by comparing the treated side with the contralateral one; subjective and objective evaluation was performed according to the ASES, Rowe scales and Constant rating system; A-P and axillary X-rays were performed to evaluate glenohumeral arthrosis by the Samilson criteria. Despite the need for a second operation due to staple loosening (5 of 58 patients in our series), this open procedure for shoulder instability gave a high rate of satisfactory results, thus holding the ground for the current concept of the modern arthroscopic Bankart repair.
Similar content being viewed by others
References
Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80(6):841–852
Boyd HB, Hunt HL (1965) Recurrent dislocation of the shoulder; the staple capsulorrhaphy. J Bone Joint Surg Am 47(8):1514–1520
Brav EA (1955) An evaluation of the Putti-Platt reconstruction procedure for recurrent dislocation of the shoulder. J Bone Joint Surg Am 37-A(4):731–741
Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164
Du Toit GT, Roux D (1956) Recurrent dislocation of the shoulder; a twenty-four year study of the Johannesburg stapling operation. J Bone Joint Surg Am 38-A(1):1–12
Gerber C, Ganz R (1984) Clinical assessment of instability of the shoulder. With special reference to anterior and posterior drawer tests. J Bone Joint Surg Br 66(4):551–556
Hamada K, Fukuda H, Nakajima T, Yamada N (1999) The inferior capsular shift operation for instability of the shoulder. Long-term results in 34 shoulders. J Bone Joint Surg Br 81(2):218–225
Hawkins RJ, Mohtadi NG (1991) Controversy in anterior shoulder instability. Clin Orthop 272:152–161
Hovelius L, Akermark C, Albrektsson B, Berg E, Korner L, Lundberg B, Wredmark T (1983) Bristow-Latarjet procedure for recurrent anterior dislocation of the shoulder. A 2–5 year follow-up study on the results of 112 cases. Acta Orthop Scand 54(2):284–290
Hovelius L, Lind B, Thorling J (1983) Primary dislocation of the shoulder. Factors affecting the two-year prognosis. Clin Orthop 176:181–185
Hovelius L, Korner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E (1983) The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure. J Bone Joint Surg Am 65(7):926–934
Hovelius L, Sandstrom B, Sundgren K, Saebo M (2004) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I—clinical results. J Shoulder Elbow Surg 13(5):509–516
Kirkley A, Griffin S, Dainty K (2003) Scoring systems for the functional assessment of the shoulder. Arthroscopy 19(10):1109–1120 (review)
Kocher MS, Horan MP, Briggs KK, Richardson TR, O’Holleran J, Hawkins RJ (2005) Reliability, validity, and responsiveness of the American shoulder and elbow surgeons subjective shoulder scale in patients with shoulder instability, rotator cuff disease, and glenohumeral arthritis. J Bone Joint Surg Am 87(9):2006–2011
Leach RE, Corbett M, Schepsis A, Stockel J (1982) Results of a modified Putti-Platt operation for recurrent shoulder dislocations and subluxations. Clin Orthop 164:20–25
Magnusson L, Kartus J, Ejerhed L, Hultenheim I, Sernert N, Karlsson J (2002) Revisiting the open Bankart experience: a four- to nine-year follow-up. Am J Sports Med 30(6):778–782
O’Driscoll SW, Evans DC (1993) Long-term results of staple capsulorrhaphy for anterior instability of the shoulder. J Bone Joint Surg Am 75(2):249–258. Erratum in: J Bone Joint Surg Am 75(5)
Pollock RG, Bigliani LU (1993) Glenohumeral instability: evaluation and treatment. J Am Acad Orthop Surg 1(1):24–32
Quigley TB, Freedman PA (1974) Recurrent dislocation of the shoulder. A preliminary report of personal experience with seven Bankart and ninety-two Putti-Platt operations in ninety-nine cases over twenty-five years. Am J Surg 128(5):595–599
Rahme H, Wikblad L, Nowak J, Larsson S (2003) Long-term clinical and radiologic results after Eden-Hybbinette operation for anterior instability of the shoulder. J Shoulder Elbow Surg 12(1):15–19
Rao JP, Francis AM, Hurley J, Daczkewycz R (1986) Treatment of recurrent anterior dislocation of the shoulder by Du Toit staple capsulorrhaphy. Results of long-term follow-up study. Clin Orthop 204:169–76
Rosenberg BN, Richmond JC, Levine WN (1995) Long-term follow-up of Bankart reconstruction. Incidence of late degenerative glenohumeral arthrosis. Am J Sports Med 23(5):538–544
Rowe CR (1962) Acute and recurrent dislocations of the shoulder. Am J Orthop 44-A:998–1008
Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460
Sisk TD, Boyd HB (1974) Management of recurrent anterior dislocation of the shoulder. Du Toit-type or staple capsulorrhaphy. Clin Orthop Relat Res 103:150–156
Schroder HA, Fristed PB (1985) Recurrent dislocation of the shoulder. The alvik modification of the Eden-Hybinette operation. Acta Orthop Scand 56(5):396–399
Yian EH, Ramappa AJ, Arneberg O, Gerber C (2005) The Constant score in normal shoulders. J Shoulder Elbow Surg 14(2):128–133
Zaffagnini S, Marcacci M, Loreti I, Visani A, Vascellari A (2000) Results of the original Putti-Platt procedure for shoulder instability: review of Putti’s scholar experience. Knee Surg Sports Traumatol Arthrosc 8(5):314–319
Acknowledgements
Dott. A. Vascellari, Dott.ssa A. Montaperto, M. Bonfiglioli, G. Bernagozzi. The experiments comply with the current law of Italy.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zaffagnini, S., Russo, A., Reggiani, L.M. et al. Revisiting open capsuloplasty for the treatment of anterior shoulder instability: 35-year follow-up of the Du Toit procedure. Knee Surg Sports Traumatol Arthr 15, 1055–1061 (2007). https://doi.org/10.1007/s00167-007-0303-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-007-0303-2