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Results of modified Bristow procedure
Clinical Orthopaedics and Related Research
|July 1, 1984
Summary
This modified Bristow procedure effectively treated shoulder instability, with patients returning to pre-injury activity levels and experiencing no recurrent dislocations. The surgical technique offers benefits like minimal trauma and blood loss.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Instability Treatment
Background:
- Recurrent shoulder dislocations significantly impact patient quality of life and activity levels.
- Traditional surgical interventions for shoulder instability carry risks and potential complications.
Purpose of the Study:
- To evaluate the efficacy and safety of a modified Bristow procedure for treating shoulder instability.
- To assess patient outcomes, including pain, range of motion, and return to activity.
Main Methods:
- A modified Bristow procedure involving subscapularis splitting and coracoid process fixation was performed on 23 patients.
- Outcomes were assessed using questionnaires, physical examinations, and radiographs over an average 25-month follow-up.
- Key metrics included recurrent dislocations, pain levels, range of motion, and return to pre-injury activities.
Main Results:
- No postoperative recurrent dislocations were observed in any patient.
- All patients returned to their preoperative activity levels, with minimal pain during overhead activities.
- Average loss of external and internal rotation was 13 and 12 degrees, respectively. Bony fusion occurred in only one of 13 shoulders.
Conclusions:
- The modified Bristow procedure is a safe and effective treatment for shoulder instability, offering good surgical exposure and minimal complications.
- The technique allows patients to return to their previous activity levels with minimal residual pain and a low complication rate.