Boytchev法の成績の再検討
Bristow&Bankart合併法との比較
1988 年 12 巻 1 号 p. 31-34
詳細
1988 年 12 巻 1 号 p. 31-34
From 1970 to 1987, we have operated on 65 patients with recurrent dislocation of the shoulder. Thirty two patients were treated by the modified Bristow procedure and 15 were treated by the Boytchev procedure. We reported at the 11th Meeting that the Boychev procedure was technically easier than the modified Bristow procedure, but more patients in the Boytchev group complained of difficulty in ADL, decreased ability in sports, and episodes of subluxation. It seemed that the effect of muscular block aimed by Boytchev procedure was insufficient in preventing instability in vigorous sports. Since 1984, we have used the modified Bristow procedure combined with repair of Bankart lesion (Bristow & Bankart procedure) on 17 patients. In this paper, we would like to compare the results of these two procedures.
Redislocation occurred in two case of Boytchev's procedure by mild force a nd one case of Bristow & Bankart's procedure by strong force. Subluxation occurred in six cases of the Boytchev group but in none of the Bristow & Bankart group. Forty three per cent of the Boytchev cases and 25 percent of the Bristow & Bankart cases changed or stopped sports due to anxiety.
In both procedures, over 85 percent of the patients were satisfied with the results of the operation.
We conclude that for daily life activities Boytchev's procedure may be satisfactory, but if we aim to assure that the patient will return to hard or contact sports, Bristow & Bankart procedure seems preferable.
