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Related Experiment Videos

Don't forget the Bristow-Latarjet procedure

J K Weaver1, R S Derkash

  • 1Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver.

Clinical Orthopaedics and Related Research
|November 1, 1994
PubMed
Summary

The Bristow procedure is a viable alternative to the Bankart procedure for shoulder instability, showing comparable outcomes in range of motion, strength, and patient satisfaction. Technical modifications can mitigate potential complications.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • Recent reports have raised concerns regarding the Bristow procedure for shoulder instability.
  • Complications cited include screw failure, nerve damage, and subscapularis issues.

Purpose of the Study:

  • To compare the outcomes of the Bristow procedure versus the Bankart procedure.
  • To evaluate complications, recurrence rates, range of motion, strength, and patient satisfaction.

Main Methods:

  • Retrospective study of 85 patients (61 Bristow, 24 Bankart) over a 10-year period.
  • Minimum follow-up of 2 years.
  • Evaluation of clinical parameters including complications, recurrence, subluxation, range of motion, return to activity, strength, pain, and satisfaction.

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Main Results:

  • No significant differences were found between the Bristow and Bankart procedures across most parameters.
  • Bristow group showed comparable range of abduction, external rotation, and strength.
  • Bristow procedure served as a reliable alternative in cases with capsular deficiency.

Conclusions:

  • The Bristow procedure remains a reasonable alternative to the Bankart operation for shoulder instability.
  • Technical recommendations are provided to avoid previously reported complications.
  • The study supports the continued use of the Bristow procedure with appropriate technical considerations.