Recurrent anterior dislocation of shoulder joint

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.