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Long-term functional results of the modified Bristow procedure for recurrent dislocations of the shoulder

Department of Orthopedic Surgery, Section of Sports Medicine and Sports Trauma, Karolinska Institute, Huddinge Hospital, Huddinge, Sweden

Hans Törnkvist, MD, PhD

Department of Orthopedic Surgery, Section of Sports Medicine and Sports Trauma, Karolinska Institute, Huddinge Hospital, Huddinge, Sweden

Christer Johansson, MD, PhD

Department of Orthopedic Surgery, Section of Sports Medicine and Sports Trauma, Karolinska Institute, Huddinge Hospital, Huddinge, Sweden

Birgitta Brobert, PT

Department of Orthopedic Surgery, Section of Sports Medicine and Sports Trauma, Karolinska Institute, Huddinge Hospital, Huddinge, Sweden

Subjective shoulder function, range of motion, isoki netic muscular performance, and radiographs were analyzed in 44 patients at an average follow-up time of 6 years after a Bristow-Latarjet procedure for recurrent dislocations of the shoulder. The injured shoulder was compared with the healthy side in each patient.

Ninety-five percent of the patients considered mobil ity, strength, and stability of the operated shoulder as good or excellent. Totally, 32 of 44 patients (72%) had no pain or discomfort at all, while the remaining 12 (28%) complained of moderate exertional pain. Range of motion in extension, flexion, abduction, and internal and external rotation did not differ significantly between the injured and healthy sides. Nor did isokinetic peak torque at 30 and 90 deg/sec differ in extension, flexion, or internal and external rotation. The rate of healing of the implant did not seem to influence the functional outcome of surgery. Two patients suffered from recur rent dislocations.

The Bristow-Latarjet procedure provided a good or excellent long-term functional result in patients with recurrent shoulder dislocations.

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