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Long-term followup of the modified Bristow procedure

Department of Orthopaedics, Division of Sports Medicine, University of Rochester School of Medicine, Rochester, New York

Peter G. Dalldorf, MD

Department of Orthopaedics, Division of Sports Medicine, University of Rochester School of Medicine, Rochester, New York

Wayne J. Sebastianelli, MD

Department of Orthopaedics, Division of Sports Medicine, University of Rochester School of Medicine, Rochester, New York

Kenneth E. DeHaven, MD

Department of Orthopaedics, Division of Sports Medicine, University of Rochester School of Medicine, Rochester, New York

A total of 86 modified Bristow procedures were per formed for anterior shoulder instability between 1975 and 1987. Followup on 79 shoulders (92%) was ob tained at an average postoperative time of 8.6 years. The redislocation rate was 4%. Average motion loss was 5° of internal rotation and 9° of external rotation. Fifteen percent of the patients examined expressed mild apprehension with the shoulder abducted and externally rotated. Radiographic bone union of the coracoid transplant was noted in 82% of patients. Additional surgical procedures were required in 14% of patients. Seventy-three percent of the reoperations were for screw removal because of persistent shoulder pain. The average subjective shoulder function was rated at 86% of preinjury level. All throwing athletes were able to return to throwing, although 54% of the patients with dominant shoulder involvement noted a decrease in throwing velocity. Ninety-seven percent of the patients rated their results as good or excellent.

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