[Treatment of habitual shoulder dislocation with the Brückner binding method]

Area of Science:

• Orthopedic surgery
• Shoulder joint biomechanics
• Traumatology

Context:

• Recurrent shoulder dislocation is a common and debilitating condition.
• The Brückner-plasty was a surgical technique employed for shoulder stabilization.
• Long-term outcomes of this procedure were not well-established.

Purpose:

• To evaluate the long-term efficacy and complication rates of the Brückner-plasty for recurrent shoulder dislocation.
• To identify patient subgroups and lesion types that may influence the success of the Brückner-plasty.
• To provide evidence-based recommendations for the future application of this surgical method.

Summary:

• A follow-up study of 101 patients who underwent Brückner-plasty for recurrent shoulder dislocation between 1974 and 1981 was conducted.
• The study reported good to very good results in 33.7% of cases, moderate results in 13.8%, and poor results in 52.8%.
• A significant redislocation rate of 49.0% was observed across 135 operations, indicating limited long-term stability.

Impact:

• The findings suggest that the Brückner-plasty has a high failure rate for recurrent shoulder dislocations.
• The study recommends limiting the use of Brückner-plasty to pediatric patients, the elderly, or cases lacking Hill-Sachs and Bankart lesions.
• This research informs surgical decision-making and highlights the need for alternative stabilization techniques.