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Osteoarthrosis following the Putti-Platt operation
Archives of Orthopaedic and Trauma Surgery
|January 1, 1996
Summary
The Putti-Platt operation can lead to shoulder osteoarthrosis (OA) long-term. Older age at first dislocation increases OA risk following this shoulder surgery.
Area of Science:
- Orthopedic Surgery
- Radiology
- Rheumatology
Background:
- The Putti-Platt operation is a surgical procedure for shoulder instability.
- Long-term outcomes often focus on redislocation rates and limited external rotation.
- Degenerative changes, specifically osteoarthrosis (OA), are less frequently reported post-operation.
Purpose of the Study:
- To investigate the incidence of degenerative changes, particularly OA, in the shoulder joint after the Putti-Platt operation.
- To assess long-term radiological findings in patients who underwent the Putti-Platt procedure.
Main Methods:
- A cohort of patients operated on between 1945 and 1971 was studied.
- Participants completed questionnaires and underwent clinical examinations and standard X-rays.
- Preoperative X-rays were used for comparison, and OA was graded using the Samilson and Prieto classification.
Main Results:
- Twenty-six patients were re-examined, averaging 26 years post-operation.
- Fifteen patients (58%) showed radiological signs of OA: 11 mild, 2 moderate, and 2 severe.
- Nine patients had a Hill-Sachs defect, and 3 had a Bankart lesion. Age over 25 at first dislocation correlated with higher OA incidence.
Conclusions:
- The Putti-Platt operation is associated with a significant incidence of long-term radiological signs of osteoarthrosis.
- While OA can occur, it is predominantly in mild forms.
- Advanced patient age at the time of the initial shoulder dislocation is a predisposing factor for developing OA post-Putti-Platt surgery.