A modified Bristow procedure for recurrent anterior shoulder dislocation.
BACKGROUND
Dislocation of the shoulder is one of our earliest frequent injuries. Many procedures have been evaluated for treatment of the condition since the mid 1960s. The modified Bristow procedure was initially described in 1970 by May. Technically easy, the procedure is very effective in prevention of redislocation, and has gained popularity over two decades of use.


METHODS
A retrospective study was done of 32 patients with recurrent anterior shoulder dislocation, who had received modified Bristow procedure during the years 1987 through 1991 in this Hospital. Average followup period was 26 months.


RESULTS
At postoperative evaluation, average loss of external rotation and abduction as compared to the nonoperated side were 15 and 10 degrees, respectively. There was no limitation on daily activity, but some little restriction in extreme throwing sports was found. Postoperative complications included three patients who had bone block resorption and one patient who had superficial wound infection. There was no redislocation nor implant loosening in the study.


CONCLUSIONS
This procedure is technically easy, had a low rate of complication, a high degree of patient satisfaction and very effectively prevents redislocation.
Shih
J T
JT
Department of Surgery, 804 Army General Hospital, Taoyuan, Taiwan, R.O.C.
Lee
H M
HM
Tan
C M
CM
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000601:surgery*