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DOI: 10.1055/s-0039-3402455
Clinical and Radiographic Evaluation of Patients Operated by the Bristow-Latarjet Technique with a Minimum Follow-Up of 20 Years[*]
Article in several languages: português | English![](https://www.thieme-connect.de/media/10.1055-s-00042410/202004/lookinside/thumbnails/10-1055-s-0039-3402455_180351_en-1.jpg)
Abstract
Objective To verify the results of 27 patients submitted to surgery from 1990 to 1997 by the Bristow-Latarjet technique for the treatment of anterior traumatic instability of the shoulder. The analysis included the possible complications, especially the appearance of arthropathy.
Methods The subjective clinical evaluation was performed through a questionnaire answered by the patients, and the objective evaluation was performed using the Rowe et al score. The radiographic evaluation was performed using the anteroposterior (true) incidence to detect signs of shoulder arthrosis, according to the classification of Samilson and Prieto, as well as the apical oblique and the Bernageau and Patte incidences to verify the consolidation of the bone graft, the position of the screw and of the graft, and signs of the release of the synthesis material. These evaluations were performed by two examiners at different times without interference between them.
Results In the subjective assessment of the patients, 93% were fully recovered, and, in the objective evaluation, the average was 95 points on the Rowe et al score. Complications related to coracoid placement were not found. The degree of arthropathy of the shoulders, according to the Samilson and Prieto classification, presented an average of seven mild cases, two moderate cases and one severe case. In total, 17 patients did not present arthropathy.
Conclusion Between the first and second evaluations, there was no change in the efficacy of the Bristow-Latarjet technique. The careful observation of the criteria of the technique was fundamental to avoid complications. The occurrence of arthropathy in the long term was not relevant in our evaluation. Based on the evidences of the present study, the surgical procedure alone is not the cause of the onset of the arthropathy, but the failure in its execution.
* Study performed at the Center of Studies of Instituto Ortopédico de Goiânia, Goiânia, GO, Brazil.
Publication History
Received: 06 September 2018
Accepted: 12 March 2019
Article published online:
06 April 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
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Referências
- 1 Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res 1982; (166) 127-131
- 2 Helfet AJ. Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br 1958; 40 (02) 198-202
- 3 Latarjet M. A propos du traitement des luxations récidivantes de l'épaule. Lyon Chir 1954; 49 (08) 994-997
- 4 Patte D, Bernageau J, Rodineau J, Gardes JC. [Unstable painful shoulders (author's transl)]. Rev Chir Orthop Repar Appar Mot 1980; 66 (03) 157-165
- 5 May Jr VR. A modified Bristow operation for anterior recurrent dislocation of the shoulder. J Bone Joint Surg Am 1970; 52 (05) 1010-1016
- 6 Ferreira Filho AA. Tratamento de luxação anterior recidivante do ombro pela técnica Bristow-Latarjet [tese]. São Paulo: Faculdade de Medicina, Universidade de São Paulo; 1984
- 7 Young DC, Rockwood Jr CA. Complications of a failed Bristow procedure and their management. J Bone Joint Surg Am 1991; 73 (07) 969-981
- 8 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 (06) 1293-1296
- 9 Bach Jr BR. Arthroscopic removal of painful Bristow hardware. Arthroscopy 1990; 6 (04) 324-326
- 10 Bach Jr BR, O'Brien SJ, Warren RF, Leighton M. An unusual neurological complication of the Bristow procedure. A case report. J Bone Joint Surg Am 1988; 70 (03) 458-460
- 11 Clancy MJ. False aneurysm of the axillary artery as a complication of the modified Bristow procedure. Injury 1987; 18 (06) 427-428
- 12 Fee HJ, McAvoy JM, Dainko EA. Pseudoaneurysm of the axillary artery following a modified Bristow operation: report of a case and review. J Cardiovasc Surg (Torino) 1978; 19 (01) 65-68
- 13 Iftikhar TB, Kaminski RS, Silva Jr I. Neurovascular complications of the modified Bristow procedure. A case report. J Bone Joint Surg Am 1984; 66 (06) 951-952
- 14 Lower RF, McNiesh LM, Callaghan JJ. Computed tomographic documentation of intra-articular penetration of a screw after operations on the shoulder. A report of two cases. J Bone Joint Surg Am 1985; 67 (07) 1120-1122
- 15 Nielson AB, Nielsen K. The modified Bristow procedure for recurrent anterior dislocation of the shoulder. Results and complications. Acta Orthop Scand 1982; 53 (02) 229-232
- 16 Richards RR, Hudson AR, Bertoia JT, Urbaniak JR, Waddell JP. Injury to the brachial plexus during Putti-Platt and Bristow procedures. A report of eight cases. Am J Sports Med 1987; 15 (04) 374-380
- 17 Rowe CR, Zarins B, Ciullo JV. Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment. J Bone Joint Surg Am 1984; 66 (02) 159-168
- 18 Strömqvist B, Wingstrand H, Egund N. Recurrent shoulder dislocation and screw failure after the Bristow-Latarjet procedure. A case report. Arch Orthop Trauma Surg 1987; 106 (04) 260-262
- 19 Zuckerman JD, Matsen 3rd. FA. Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am 1984; 66 (02) 175-180
- 20 Weaver JK, Derkash RS. Don't forget the Bristow-Latarjet procedure. Clin Orthop Relat Res 1994; (308) 102-110
- 21 Guiotti Filho J, Borges AC, Rabelo LW, Daher WR. Instabilidade anterior do ombro: tratamento cirúrgico pela técnica de Bristow-Laterjet. Rev Bras Ortop 1998; 33 (09) 724-730
- 22 Gordins V, Hovelius L, Sandström B, Rahme H, Bergström U. Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders. J Shoulder Elbow Surg 2015; 24 (05) 691-699
- 23 Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 1983; 65 (04) 456-460
- 24 Bernageau J, Patte D. Le profil glenoide. J Traumatol Sport 1984; 1 (01) 15-19
- 25 Garth Jr WP, Slappey CE, Ochs CW. Roentgenographic demonstration of instability of the shoulder: the apical oblique projection. A technical note. J Bone Joint Surg Am 1984; 66 (09) 1450-1453
- 26 Hawkins RJ, Angelo RL. Osteoartrose Glenohumeral. A late complication of the Putti-Platt repair. J Bone Joint Surg Am 1990; 72 (08) 1193-1187
- 27 Van der Zwaag HM, Brand R, Obermann WR, Rozing PM. Osteoarthrosis glenohumeral after Plutti-Platt. J Shoulder Elbow Surg 1999; 8 (03) 252-258
- 28 Hovelius L, Sandström B, Sundgren K, Saebö 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 (05) 509-516
- 29 Hill JA, Lombardo SJ, Kerlan RK. , et al. The modification Bristow-Helfet procedure for recurrent anterior shoulder subluxations and dislocations. Am J Sports Med 1981; 9 (05) 283-287
- 30 Uhorchak JM, Arciero RA, Huggard D, Taylor DC. Recurrent shoulder instability after open reconstruction in athletes involved in collision and contact sports. Am J Sports Med 2000; 28 (06) 794-799