Results of Surgical Treatment for Recurrent Anterior Dislocation and Subluxation of the Shoulder Joint

Abstract

We compared and reviewed the results of 2 operative procedures (modified Bristow's and Boytchev's) for recurrent anterior dislocation and subluxation. From 1975 to 1991, we operated on 55 shoulders with anterior dislocation and subluxation in our hospital and in Shinshu University Hospital (30 modified Bristow's procedure and 25 Boytchev's procedure).
We reviewed 43 shoulder joints (modified Bristow's procedure; 19 shoulders, Boytchev's procedure; 24 shoulders). The follow-up period ranged from 7 to 241 months in modified Bristow's procedure (average; 75 months) and from 6 to 145 months in Boytchev's procedure (average; 78months).
4 subluxations (16.7%) were found postoperatively after Boytchev's procedure. There were 10cases (41.7%) of nerve palsy and 3 of complete musculocutaneous palsy. No re-dislcation or nerve palsy were found in modified Bristow's procedure.
We frequently had complications wi t h Boytchev's procedure. Modified Bristow's procedure is more effective for hard workers and competitive sportsmen.