Results of the original Putti-Platt procedure for shoulder instability: review of Putti's scholar experience.
Twenty patients who underwent Putti-Platt shoulder capsulorraphy were retrospectively evaluated at long-term follow-up (24-34 years). The aim of this study was to analyse the efficacy and possible degenerative changes associated with this procedure. Patients' charts were reviewed to analyse the pre-operative picture, surgical technique and post-operative program. All patients were re-examined using ASES, Rowe and Lysholm scales. Range of movement (ROM) of the shoulder operated on was compared with the non-operated one. A-P, axillary and outlet views were taken for radiographic control. Samilson criteria were followed to determine the degree of arthrosis. Clinical outcome was satisfactory in 85% of the cases with only three cases with fair results (15%). No recurrence was present in this series. The mean limitation of external rotation in abduction was 9 degrees with respect to the contra-lateral shoulder. Severe degenerative changes were observed in two cases. In conclusion, after a long follow-up period, the Putti-Platt technique has shown highly satisfactory results, with an incidence of loss of motion and joint degeneration changes similar to other procedures.
Zaffagnini
S
S
Rizzoli Orthopaedic Institute, Biomechanics Laboratory, Bologna, Italy. s.zaffagnini@biomec.ior.it
Marcacci
M
M
Loreti
I
I
Visani
A
A
Vascellari
A
A
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome