反復性肩関節脱臼に対する Bristow 変法の術後成績について

概要

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Based on this follow-up study, we attemped to investigated the long term results of our modified Bristow procedure. We could make a follow-up study of 57 patients over 5 years. 43 were male, and 14 female. The mean age at operation was 26.1 years old. The average follow-up period was 11 years and 3 months. 42 (73.6%) patients had sports injury episodes in the first dislocation. The clinical and radiological results were evaluated. The recurrence of dislocation was seen in only one patient. The anterior instability was found in 9 (15.7%) patients. Pain in motion was experienced by 3 patients. The mean limitation of external rotation was 10.1 degrees compared to the intact side. The average point of the pre-operative JOA score was 63, and 95.3 points post-operatively.Radiographic findings revealed a broken screw in 3, a loosening screw in 4, and a non-union of the transferred coracoid process in 3. Arthrosis in 3. Arthrosis of the shoulder joint was observed in 8 patients. The Modified Bristow procedure had good results for the long term.
日本肩関節学会の論文
2002-01-01