Bristow-Latarjet Technique: Still a Very Successful Surgery for Anterior Glenohumeral Instability - A Forty Year One Clinic Experience
DOI:
https://doi.org/10.3889/oamjms.2015.066Keywords:
Bankart lesion, shoulder, Bristow, Latarjet, instabilityAbstract
AIM: To evaluate the functional outcomes of the Bristow-Latarjet procedure in patients with recurrent anterior glenohumeral instability.
PATIENTS AND METHODS: Personal clinical records of 42 patients with 45 operated shoulders were reviewed retrospectively. Patient age at time of first dislocation, injury mechanism, and number of recurring dislocations before surgery were recorded. The overall function and stability of the shoulder was evaluated.
RESULTS: Thirty five (78%) of the scapulohumeral humeral instabilities were caused by trauma. The mean number of recurring dislocations was 9 (95% confidence interval [CI], 0–18); one patient had had 17 recurrences. Mean follow-up 46 months (95% CI, 16-88). No dislocation happened postoperatively. Four patients have fibrous union (9%). Only two had clinical sign of pain and discomfort. One of them was reoperated for screw removal with very good post-operative result. The overall functional outcome was good, with a mean Rowe score of 88 points (95% CI, 78–100). Scores of 27 (64%) of the patients were excellent, 9 (22%) were good, 4 (9.5%) were fair, and 2 (4.5%) were poor.
CONCLUSION: The Bristow-Latarjet procedure is a very good surgical treatment for recurrent anterior-inferior instability of the glenohumeral joint. It must not be used for multidirectional instability or psychogenic habitual dislocations.Downloads
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References
Thielemann FW, Holz U. Differential diagnosis of shoulder dislocation with special reference to posterior dislocation [in German]. Aktuelle Traumatol. 1989;19:274–80.
Pap G, Machner A, Merk H. Treatment of recurrent traumatic shoulder dislocations with coracoid transfer—Latarjet-Bristow operation [in German]. Zentralbl Chir. 1997;122:321–6.
Singer GC, Kirkland PM, Emery RJ. Coracoid transposition for recurrent anterior instability of the shoulder. A 20-year follow-up study. J Bone Joint Surg Br. 1995;77:73–6. DOI: https://doi.org/10.1302/0301-620X.77B1.7822401
Latarjet M, A propos du traitement des luxation recidivantes de l’epaule. Lyon Chir. 1954:49: 994-10038.
Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br. 1958;40:198–202.
Banas MP, Dalldorf PG, Sebastianelli WJ, DeHaven KE. Long-term follow-up of the modified Bristow procedure. Am J Sports Med. 1993;21:666 –71. DOI: https://doi.org/10.1177/036354659302100505
Hovelius L, Sandstrom B, Sundgren K, Saebo M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: study I—clinical results. J Shoulder Elbow Surg. 2004;13:509–16. DOI: https://doi.org/10.1016/j.jse.2004.02.013
Matthes G, Horvath V, Seifert J, Ptok H, Stengel D, Shmucker U, Ekkernkamp A, Hinz P. Oldie but goldie: Bristow-Latarjet procedure for anterior shoulder instability. Journal of Orthopaedic Surgery. 2007;15(1):4-8. DOI: https://doi.org/10.1177/230949900701500102
Jerosch J. Arthroscopic therapy of the unstable shoulder joint—acceptance and critical considerations [in German]. Z Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br. 1958;40:198–202. DOI: https://doi.org/10.1302/0301-620X.40B2.198
Bigliani LU, Kurzweil PR, Schwartzbach CC, Wolfe IN, Flatow EL. Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes. Am J Sports Med. 1994;22:578–84. DOI: https://doi.org/10.1177/036354659402200502
Gebhard F, Draeger M, Steinmann R, Hoellen I, Hartel W. Functional outcome of Eden-Hybinette-Lange operation in posttraumatic recurrent shoulder dislocation [in German]. Unfallchirurg. 1997;100:770–5. DOI: https://doi.org/10.1007/s001130050191
Jorgensen U, Svend-Hansen H, Bak K, Pedersen I. Recurrent post-traumatic anterior shoulder dislocation—open versus arthroscopic repair. Knee Surg Sports Traumatol Arthrosc. 1999;7:118–24. DOI: https://doi.org/10.1007/s001670050133
Guanche CA, Quick DC, Sodergren KM, Buss DD. Arthroscopic versus open reconstruction of the shoulder in patients with isolated Bankart lesions. Am J Sports Med. 1996;24:144–8. DOI: https://doi.org/10.1177/036354659602400204
Rowe CR. Instabilities of the glenohumeral joint. Bull Hosp Joint Dis. 1978;39:180–6.
Rowe CR, Zarins B. Recurrent transient subluxation of the shoulder. J Bone Joint Surg Am. 1981;63:863–72. DOI: https://doi.org/10.2106/00004623-198163060-00001
Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am. 1983;65:456–60. DOI: https://doi.org/10.2106/00004623-198365040-00005
Cappello T, Nuber GW, Nolan KD, McCarthy WJ. Acute ischemia of the upper limb fifteen years after anterior dislocation of the glenohumeral joint and a modified Bristow procedure. A case report. J Bone Joint Surg Am. 1996;78:1578–82. DOI: https://doi.org/10.2106/00004623-199610000-00018
Artz T, Huffer JM. A major complication of the modified Bristow procedure for recurrent dislocation of the shoulder. A case report. J Bone Joint Surg Am. 1972;54:1293–6. DOI: https://doi.org/10.2106/00004623-197254060-00023
Iftikhar TB, Kaminski RS, Silva I Jr. Neurovascular complications of the modified Bristow procedure. A case report. J Bone Joint Surg Am. 1984;66 :951–2. DOI: https://doi.org/10.2106/00004623-198466060-00017
Kartus J, Ejerhed L, Funck E, Kohler K, Sernert N, Karlsson J. Arthroscopic and open shoulder stabilization using absorbable implants. A clinical and radiographic comparison of two methods. Knee Surg Sports Traumatol Arthrosc. 1998;6:181–8. DOI: https://doi.org/10.1007/s001670050096
Pihlajamaki H, Bostman O, Rokkanen P. A biodegradable expansion plug for fixation of the coracoid bone block in the Bristow-Latarjet operation. Int Orthop. 1994;18:66–71. DOI: https://doi.org/10.1007/BF02484413
Coughlin L, Rubinovich M, Johansson J, White B, Greenspoon J. Arthroscopic staple capsulorrhaphy for anterior shoulder instability. Am J Sports Med. 1992;20:253–6. DOI: https://doi.org/10.1177/036354659202000303
Fealy S, Drakos MC, Allen AA, Warren RF. Arthroscopic bankart repair: experience with an absorbable, transfixing implant. Clin Orthop Relat Res. 2001;390:31–41. DOI: https://doi.org/10.1097/00003086-200109000-00006
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