Is Bristow-Latarjet operation effective for every recurrent anterior shoulder dislocation?
BACKGROUND
The treatment of recurrent anterior shoulder dislocation in patients who failed a supervised rehabilitation program is operative stabilization. Anatomical repair addressing the underlying pathology is the preferred method. We hypothesize that Bristow-Latarjet procedure is effective in all types of traumatic recurrent anterior shoulder dislocations, although in cases with Bankart lesion, Bankart operation is certainly preferred.


METHODS
Thirty-five shoulders on which a Bristow-Latarjet operation had been performed on account of traumatic recurrent anterior shoulder instability were followed up for an average of 24.6 months (range: 18 - 51). The clinical outcome was measured according to Walch-Duplay Rating Sheet for Anterior Instability of the Shoulder at the latest follow-up.


RESULTS
The clinical outcome was excellent in 11 (317%) patients and good in 24 (69%) patients. Two patients had redislocation that were treated nonoperatively and remained symptom-free at the latest follow-up. Radial nerve palsy occurred in one patient that spontaneously recovered after nine weeks.


CONCLUSIONS
Although the treatment of anterior shoulder instability in patients with Bankart lesion and intact capsular material (without excessive laxity) is certainly Bankart operation, we claim that in almost all types of anterior shoulder instability, especially in patients with large Hill-Sachs lesions, glenoid bone loss, or excessive capsular laxity, the Bristow-Latarjet operation is associated with good or excellent results and can make the patient satisfied.
Omidi-Kashani
Farzad
F
Department of Orthopedics, Qaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. omidif@mums.ac.ir
Sadri-Mahvelati
Eghbal
E
Mazlumi
Seyed-Mahdi
SM
Makhmalbaf
Hadi
H
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures; D017063:Outcome Assessment, Health Care; D012008:Recurrence; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery; D055815:Young Adult