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Functional outcomes of modified Bristow procedure in recurrent shoulder dislocation
Khadim Khawaja1, Yasir Mohib2, Muhammad Younus Khan Durrani1
1Department of Orthopaedics, The Aga Khan University Hospital, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|January 2, 2022
Summary
The modified Bristow-Latarjet procedure effectively treats recurrent shoulder instability, with no dislocations reported post-surgery in a 70-patient study. This surgical technique offers a stable outcome for patients experiencing frequent glenohumeral joint dislocations.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- The glenohumeral joint's high mobility makes it susceptible to dislocations, with 50% of all joint dislocations occurring in the shoulder.
- Recurrent shoulder instability can reach 90% risk in patients under 20 after their first dislocation.
- The Bristow procedure, modified by Laterjet, is a surgical option for anterior glenohumeral dislocations.
Purpose of the Study:
- To evaluate the functional outcomes of the modified Bristow procedure for treating recurrent glenohumeral instability.
Main Methods:
- A retrospective review of 70 patients who underwent the modified Bristow procedure at Aga Khan University Hospital from January 2000 to December 2015.
- Data collected included patient demographics, cause of dislocation, pre-operative dislocation frequency, and post-operative outcomes.
Main Results:
- The study included 61 males (87.1%) and 9 females (12.9%), with a mean age of 31.6 years.
- Road traffic accidents (68.57%) and sports (18.57%) were the primary causes of shoulder dislocations.
- No patients experienced dislocations post-surgery; two had subluxations, none requiring further intervention.
Conclusions:
- The modified Bristow-Latarjet procedure demonstrates effectiveness in managing recurrent glenohumeral instability.
- The surgical technique provides a stable solution, significantly reducing or eliminating dislocation episodes post-operatively.
