Archives of Orthopaedic and Trauma Surgery

, Volume 115, Issue 3–4, pp 231–232 | Cite as

Osteoarthrosis following the Putti-Platt operation

  • D. P. König
  • J. Rütt
  • O. Trend
  • T. Kausch
  • M. H. Hackenbroch
Clinical and Experimental Forum


The objective of this study was to search for any degenerative changes in the shoulder joint following the Putti-Platt operation in a long-term follow-up study, as most papers regarding that operation report a redislocation rate and a limitation of external rotation, but only a few mention osteoarthrosis (OA). Patients operated on between 1945 and 1971 answered a questionnnaire and were invited for a clinical examination including standard X-rays of the shoulder. These films were compared with those taken preoperatively. OA was classified according to the Samilson and Prieto grading. Twenty-six patients could be re-examined on average 26 years after the operation. Fifteen had evident radiological signs of OA. According to Samilson and Prieto there were 11 mild, 2 moderate and 2 severe cases of OA. Nine patients had a Hill-Sachs defect and 3, a Bankart lesion. Patients over the age of 25 years at the time of the first dislocation developed OA more often. Following the Putti-Platt operation one has to expect radiological signs of OA in a longterm follow-up. Mainly minor forms are seen. Older patient age at the time of the first dislocation is a predisposing factor for the development of OA.


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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • D. P. König
    • 1
  • J. Rütt
    • 1
  • O. Trend
    • 1
  • T. Kausch
    • 1
  • M. H. Hackenbroch
    • 1
  1. 1.Department of Orthopaedic SurgeryUniversity of CologneKölnGermany

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