Long-term followup of the modified Bristow procedure

Michael P. Banas, Peter G. Dalldorf, Wayne J. Sebastianelli, Kenneth E. DeHaven

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)666-671
Number of pages6
JournalAmerican Journal of Sports Medicine
Volume21
Issue number5
DOIs
Publication statusPublished - 1993

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All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Public Health, Environmental and Occupational Health

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