Abstract
Introduction
The purpose of this study is to compare the early clinical results of two techniques in regarding to complications in the patients who suffered from chronic anterior traumatic isolated shoulder instability.
Method
Eighty-five patients underwent reconstructive procedures due to chronic isolated traumatic shoulder instability in our clinic between 1990 and 2002. Sixty-four patients in whom preoperatively Bankart lesion were detected with MRI and who participated in the regular follow-up were included in the study. Thirty-four patients were treated with Bankart repair (Group I) and 30 patients were treated with Modified Bristow procedure (Group II). Mean follow-up period was 25 (24–39) months for group I and 28 (24–96) months for group II. All cases were evaluated preoperatively and postoperatively according to Rowe scoring system.
Results
Mean Rowe scores were 90 and 88.1 for group I and II, respectively. Due to recurrent dislocation, four revision surgeries (one in group I, three in group II) were performed. Surgical complications were encountered in group II, just as fracture at the bone block in four cases, nonunion in five cases and removal of loose screw in one case.
Discussion
According to clinical outcomes, both the techniques are useful and feasible for the treatment of the chronic traumatic isolated anterior shoulder instability; however, complication rate is higher in the Modified Bristow technique and, Bankart repair is directed to the anatomic repair of the original pathology.
Similar content being viewed by others
References
Allain J, Goutallier D et al (1998) Long-term results of the Latarjet Procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg 80(A):841–852
Arpacioglu MO, Sarioglu A, Akmaz I, Rodop O (1997) Result of modified Bristow procedure for anterior recurrent dislocation of the shoulder. Acta Orthop Traumatol Turc 31:233–236
Artz T, Huffer JM (1972) A major complication of the modified Bristow Procedure for recurrent dislocation of the shoulder: a case report. J Bone Joint Surg 54(A):1293–1296
Bach BR, O’brien SJ, Warren RF, Leighton M (1988) An unusual neurological complication of the Bristow Procedure. J Bone Joint Surg 70(A):458–460
Binnet MS, Gurkan I, Karakas MA, Fazeli AR (1998) Modified Bristow procedure: is it effective in recurrent instabilities of the shoulder? Acta Orthop Traumatol Turc 32:8–14
Ferlic DC, Digiovine NM (1988) A long-term retrospective study of the modified Bristow procedure. Am J Sports Med 16(5):469–474
Hawkins RJ, Angelo RL (1990) Glenohumeral osteoarthrosis. J Bone Joint Surg 72(A):1193–1197
Hovelius L, Thorling GJ, Fredin H (1979) Recurrent anterior dislocation of the shoulder. J Bone Joint Surg 61(A):566–569
Hovelius L, Körner GL, Lundberg B et al (1983) The coracoid transfer for recurrent dislocation of the shoulder. J Bone Joint Surg 65(A):926–934
Hovelius L, Sandström BC et al (2001) Long-term results with the Bankart and Bristow–Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 10(5):445–452
Hovelius L, Sandström BC, Sundgren K, Saebö 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
Iftikhar TB, Kaminski RS, Silva I Jr (1984) Neurovascular complications of the modified Bristow Procedure. J Bone Joint Surg 66(A):951–952
Jolles BM, Pelet S, Farron A (2004) Traumatic recurrent anterior dislocation of the shoulder:two-to four-year follow-up of an anatomic open procedure. J Shoulder Elbow Surg 13(1):30–34
Jørgensen U, Svend- Hansen H, Bak K, Pedersen (1999) I Recurrent post-traumatic anterior shoulder dislocation-open versus arthroscopic repair. Knee Surg Sports Traumatol Arthrosc 7:118–124
Lambardo SJ, Kerlan RK, Jobe FW, Carter US, Baziha ME, Shiels CL Jr (1976) The modified Bristow procedure for recurrent dislocation of the shoulder. J Bone Joint Surg 58(A):256–261
Lower RF, McNiesh LM, Callaghan JJ (1985) Computed tomographic documentation of intra-articular penetration of a screw after operations on the shoulder. A report of two cases. J Bone Joint Surg 67(A):1120–1122
Matsen FA, Titelman RM, Lippitt SB, Rockwood CA Jr Wirth MA (2004) Glenohumeral instability. The shoulder In: Rockwood CA Jr, Matsen FA III, Wirth MA, Lippitt SB (eds), 3rd edn, (W.B.) Saunders, Philadelphia, vol 2, pp 735–740
May VR (1970) A modified Bristow operation for anterior recurrent dislocations of the shoulder. J Bone Joint Surg 52(A):1010–1016
Maynou C, Cassagnaud X, Mestdagh H (2005) Function of subscapularis after surgical treatment for recurrent instability of the shoulder using a bone-block procedure. J Bone Joint Surg (Br) 87(B):1096–1101
Rowe CR, Patel D, Southmayd WW (1978) The Bankart Procedure. J Bone Joint Surg 60(A):1–16
Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg 65(A):456–460
Schroder DT, Provencher MT, Mologne TS, Muldoon MP, Cox JS (2006) The modified Bristow procedure for anterior shoulder instability. Am J Sports Med 34(5):1–8
Shively J, Johnson J (1984) Results of modified Bristow Procedure. Clin Orthop 187:150–153
Singer GC, Kirkland PM, Emery RJH (1995) Coracoid transposition for recurrent anterior instability of the shoulder. J Bone Joint Surg 77(B):73–76
Spoor AB, Malefijt J de W (2005) Long-term result and arthropathy follwing the modified Bristow–Latarjet procedure. Int Orthop 29:265–267
Tauber M, Resch H et al (2004) Reasons for failure after surgical repair of anterior shoulder instability. J Shoulder Elbow Surg 13(3):279–285
Torg JS, Balduni FC, Bonci C et al (1987) A modified Bristow–Helfet_May Procedure for recurrent dislocation and subluxation of the shoulder. Report of two hundred and twelve cases. J Bone Joint Surg 69(A):904–913
Tumer Y, Atilla S, Karaoguz A, Ozeren Y, Kaplan H (1980) Results of the modified Bristow Procedure for anterior recurrent dislocation of the shoulder. Ankara Tıp Bülteni Ankara Medical Bulletin 2(1):35–40
Warner JJP, Johnson D, Miller M, Caborn DNM (1995) Technique for selecting capsular tightness in repair of anterior–inferior shoulder instability. J Shoulder Elbow Surg 4:352–364
Weaver JK, Derkash RS (1994) Don’t forget the Bristow–Latarjet Procedure. Clin Orthop 308:102–110
Young DC, Rockwood CA (1991) Complications of a failed Bristow Procedure and their management. J Bone Joint Surg 73(A):969–981
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mahirogullari, M., Kuskucu, M., Solakoglu, C. et al. Comparison of outcomes of two different surgeries in regarding to complications for chronic anterior shoulder instability. Arch Orthop Trauma Surg 126, 674–679 (2006). https://doi.org/10.1007/s00402-006-0190-x
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-006-0190-x