The Modified Bristow Procedure for Recurrent Anterior Shoulder Dislocation

  • OHSAWA Toshihisa
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • KANEKO Takuya
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • ISHIKAWA Takashi
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • KUROSAWA Kazuya
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • ARAMAKI Masayuki
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • TAKAGISHI Kenji
    Department of Orthopaedic Surgery, Gunma University School of Medicine
  • ARITA Satoru
    Department of Orthopaedic Surgery, Gunma prefectural Cardiovascular Center
  • YOSHIHARA Hideki
    Department of Orthopaedic Surgery, Fukaya Red Cross Hospital

Bibliographic Information

Other Title
  • 反復性肩関節前方脱臼に対するBristow変法の手術成績

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Description

We have employed the modified Bristow procedure for recurrent anterior sh oulder dislocations at our institutes. The purpose of this report was to give the clinical results. Thirty-one shoulders of 30 patients were followed-up. Nineteen patients were male. The average age at operation was 24.5 years. Nineteen shoulders were dominant. The average follow-up was 3.5 years. The objetive results were examined by using the JOA shoulder evaluation sheets and Rowe's. No patient had a redislocation of the shoulder, but 5 patients had positive anterior apprehension tests. None of the patients were dissatisfied with ADL. The mean limitation of ER with arm at the side was 15.7 degrees, and ER at 90-degrees abduction was 12.1 degrees. The average point were 94.7 based on the JOA, and 87.7 based on Rowe's. Roentgenograms at follow-up revealed a broken screw in 1 case, Ioosening screws in 2 cases, and nonunions of the transferred coracoid processes in 2 cases. Twenty-eight cases (93.3%) had 90 points or more using the JOA. Twenty-eight cases (93.3%) had overall successful using Rowe's.

Journal

  • Katakansetsu

    Katakansetsu 22 (3), 489-491, 1998

    Japan Shoulder Society

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