Abstract
The objective of this study was to search for any degenerative changes in the shoulder joint following the Putti-Platt operation in a long-term follow-up study, as most papers regarding that operation report a redislocation rate and a limitation of external rotation, but only a few mention osteoarthrosis (OA). Patients operated on between 1945 and 1971 answered a questionnnaire and were invited for a clinical examination including standard X-rays of the shoulder. These films were compared with those taken preoperatively. OA was classified according to the Samilson and Prieto grading. Twenty-six patients could be re-examined on average 26 years after the operation. Fifteen had evident radiological signs of OA. According to Samilson and Prieto there were 11 mild, 2 moderate and 2 severe cases of OA. Nine patients had a Hill-Sachs defect and 3, a Bankart lesion. Patients over the age of 25 years at the time of the first dislocation developed OA more often. Following the Putti-Platt operation one has to expect radiological signs of OA in a longterm follow-up. Mainly minor forms are seen. Older patient age at the time of the first dislocation is a predisposing factor for the development of OA.
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References
Forwick F, von Salis-Soglio G (1991/92) Die Ergebnisse der Operation nach Putti-Platt bei der Behandlung der habituellen und rezidivierenden Schulterluxation. Jahrbuch der Orthopädie. Biermann, FRG, Zülpich, pp 179–183
Fredriksson AS, Tegner Y (1991) Results of the Putti-Platt operation for recurrent anterior dislocation of the shoulder. Int Orthop 15:185–188
Hawkins RJ, Angelo RL (1990) Glenohumeral osteoarthritis. A late complication of the Putti-Platt repair. J Bone Joint Surg [Am] 72:1193–1197
Keyl W (1984) Ergebnisse der Operationen nach M. Lange und Putti-Platt. Hefte Unfallheilkd 170:215–220
König DP, Matt J, Treml O (1994) A high rate of osteoarthritis and recurrent shoulder dislocation following Putti-Platt and Eden Hybinette procedure. J Shoulder Elbow Surg (Suppl) 3:24
Leach RE, Corbett M, Schepsis A, Stockel J (1982) Results of a modified Putti-Platt operation for recurrent shoulder dislocations and subluxations. Clin Orthop 164:20–25
Lehmann M, Müller W (1993) Failure analysis of anterior shoulder reconstruction. Mid- to long-term follow-up of the Putti-Platt and Lange procedures. Proc. of the 7th Cong. of the Eur. Soc. for Surg. Shoulder and the Elbow, Aarhus, Denmark, June 1993
Morrey BF, Janes JM (1976) Recurrent anterior dislocation of the shoulder. Long-term follow-up of the Putti-Platt and Bankart procedures. J Bone Joint Surg [Am] 58:252–256
Osmond-Clarke H (1948) Habitual dislocation of the shoulder. The Putti-Platt operation. J Bone Joint Surg [Br] 30:19–25
Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg [Am] 65:456–460
Sillár P, Cser I, Kéry L (1983) Results of the Putti-Platt operation for recurrent anterior dislocation of the shoulder. Acta Chirurg Hung 24:31–35
Vastamdki M (1991) Eden-Hybinette procedure. Long term results. Proc. 5th Cong. Eur. Soc. Shoulder and the Elbow, Würzburg, June 1991
Wildner M, Reichelt A (1994) Osteoarthritis after the Eden-Hybinette-Large procedure for anterior dislocation of the shoulder. Int Orthop 18: 280–283
Zenker H, Hackenbroch MH, Bliemel K (1976) Unsere Ergebnisse nach operativer Behandlung der habituellen Schulterluxation. Hefte Unfallheilkd 126:123–125
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König, D.P., Rütt, J., Trend, O. et al. Osteoarthrosis following the Putti-Platt operation. Arch Orthop Trauma Surg 115, 231–232 (1996). https://doi.org/10.1007/BF00434561
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DOI: https://doi.org/10.1007/BF00434561