Functional outcomes of modified Bristow procedure in recurrent shoulder dislocation

The glenohumeral joint is the most mobile in humans. Of all the joints 50% of dislocations involve the shoulder, mostly young males. When the first dislocation occurs in a patient under 20 years age the risk for recurrent instability increases to 90%. Many techniques are available to reduce and stab...

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Bibliographic Details
Published in:	Journal of the Pakistan Medical Association Vol. 71; no. 10; pp. 2448 - 2450
Main Authors:	Khawaja, Khadim, Mohib, Yasir, Khan Durrani, Muhammad Younus, Juman, Naveed Muhammad, Habib, Ahmed Abdul, Hashmi, Pervaiz
Format:	Journal Article
Language:	English
Published:	Pakistan Knowledge Bylanes 01-10-2021 Pakistan Medical Association
Subjects:	Adult Arthroplasty Dislocation Female Humans Joint Instability - epidemiology Joint Instability - surgery Male Methods Patient outcomes Recurrence Retrospective Studies Shoulder Dislocation - epidemiology Shoulder Dislocation - surgery Shoulder joint Shoulder Joint - surgery Shoulder surgery Young Adult Pakistan Shoulder dislocation, modified Bristow’s procedure, surgical repair of recurrent dislocation of shoulder
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Summary:	The glenohumeral joint is the most mobile in humans. Of all the joints 50% of dislocations involve the shoulder, mostly young males. When the first dislocation occurs in a patient under 20 years age the risk for recurrent instability increases to 90%. Many techniques are available to reduce and stabilise the glenohumeral joint; in cases of anterior dislocations one of which is the famous Bristow's procedure, originally described in 1954 by Laterjet. The purpose of this study is was to determine the Functional Outcomes of the modified Bristow procedure. This retrospective review was conducted at Aga Khan University Hospital, Karachi from January 2000- December 2015, comprising patients who underwent the modified Bristow procedure. All patients recruited in the study underwent modified Bristow procedure. A total of 70 patients were included, which comprised of 61(87.1%) males and 9(12.9%) females with a mean age of 31.6±11.0 years The maximum number of shoulder dislocations occurred primarily due to road traffic accidents in 48 (68.57%) patients while the second highest cause in 13 (18.57) patients was due to playing sports. The mean number of dislocations before surgery were 3.50±0.5 whereas no patient had an episode of dislocation in the post-operative period. Two patients presented with subluxations but none required further surgical intervention. The Modified Bristow-Latarjet procedure is considered an effective surgical treatment for the recurrent glenohumeral instability of the joint.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0030-9982
DOI:	10.47391/JPMA.05-608