[Purpose] The purpose of this study was to evaluate the results of the Putti-Platt and a new modified method combined with the Bankart and the Bristow procedures.
[Patients and Methods] From 1986,35 Putti-Platt procedures,4 modified procedures combined with the Bankart and the Bristow methods and 2 Bankart's operations alone were performed.33 males and 6 females were involved. The ages ranged from 13 to 60 (avg.: 23.3). The follow-up period ranged from 6 to 39 months.
[Results] All the cases were evaluated as excellent. Postoperative scores ranged from 90 to 100points with an average of 97.0 points on the shoulder scoring system of the Japanese Orthopedic Association. In all the cases, no re-dislocation or subluxation had occurred for 12 months, postoperatively. At 12 and 13 months after the operation, however, a transient subluxation occurred in 2 competitive athletes. After 4 weeks fixation and rehabilitation, they could return to their original sports with a stable shoulder. Compared with the unaffected side, the range of external rotation at 90 abduction was limited with an average of 13.5 in the Putti-Platt group and 5.8of the modified procedures combined with a Bankart and Bristow method group.
[Conclusion] The results of the Putti-Platt procedures were evaluated as excellent. However, for competitive athletes in contact and throwing sports, a modified procedure combined with a Bankart and a Bristow method showed excellent results.
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