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A modified Bristow procedure for recurrent anterior shoulder dislocation

J T Shih1, H M Lee, C M Tan

  • 1Department of Surgery, 804 Army General Hospital, Taoyuan, Taiwan, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|July 1, 1995
PubMed
Summary

The modified Bristow procedure effectively prevents recurrent anterior shoulder dislocation with a low complication rate. This surgical technique is technically straightforward and highly satisfactory for patients seeking shoulder stability.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Trauma Management

Background:

  • Recurrent anterior shoulder dislocation is a common injury.
  • Numerous surgical treatments have been developed since the 1960s.
  • The modified Bristow procedure, introduced in 1970, offers a technically simple and effective solution for shoulder instability.

Purpose of the Study:

  • To evaluate the efficacy and safety of the modified Bristow procedure.
  • To assess patient outcomes and complications following the procedure for recurrent anterior shoulder dislocation.

Main Methods:

  • Retrospective study of 32 patients with recurrent anterior shoulder dislocation.
  • Patients underwent the modified Bristow procedure between 1987 and 1991.
  • Average follow-up period was 26 months.

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Main Results:

  • No cases of redislocation or implant loosening were reported.
  • Minor average losses in external rotation (15 degrees) and abduction (10 degrees) were observed.
  • Three patients experienced bone block resorption, and one had a superficial wound infection; no limitations in daily activities, though some restriction in extreme throwing sports.

Conclusions:

  • The modified Bristow procedure is technically easy to perform.
  • It demonstrates a low complication rate and high patient satisfaction.
  • The procedure is highly effective in preventing recurrent anterior shoulder dislocation.