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Related Experiment Videos

Recurrent anterior dislocation of shoulder joint.

T D Cai1, B F Guo

  • 1Department of Orthopedics, Ruij in Hospital, Shanghai Second Medical University.

Chinese Medical Journal
|July 1, 1990
PubMed
Summary

The modified Putti-Platt procedure effectively treated shoulder joint dislocations, with 76.9% of patients achieving excellent outcomes. This surgical technique demonstrated no recurrence or external rotation restriction in long-term follow-up.

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Traumatology

Background:

  • Shoulder joint dislocation is a common injury.
  • Recurrent anterior dislocation presents significant challenges in treatment and patient quality of life.
  • The modified Putti-Platt procedure is a surgical option for shoulder instability.

Purpose of the Study:

  • To evaluate the long-term efficacy of the modified Putti-Platt procedure for shoulder joint dislocations.
  • To assess outcomes in patients with both primary and recurrent anterior shoulder dislocations.
  • To investigate potential congenital factors contributing to recurrent shoulder dislocation.

Main Methods:

  • A cohort of 111 patients with shoulder joint dislocations underwent the modified Putti-Platt procedure.
  • A subset of 17 patients with recurrent anterior dislocation was specifically analyzed.
  • Long-term follow-up, averaging 25 years, was conducted on 13 patients using Rowe criteria.

Main Results:

  • Excellent results were observed in 76.9% of followed patients, with 15.4% showing good and 7.7% fair outcomes.
  • No instances of recurrence were reported in the follow-up period.
  • No significant restriction of external rotation was noted post-operatively.

Conclusions:

  • The modified Putti-Platt procedure offers a durable and effective solution for shoulder joint dislocations, including recurrent cases.
  • The surgical technique provides excellent long-term stability without compromising shoulder range of motion.
  • Further investigation into congenital factors may enhance understanding and prevention of recurrent shoulder dislocations.

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