Ferlic D C, DiGiovine N M
Denver Orthopedic Clinic, Colorado.
Am J Sports Med. 1988 Sep-Oct;16(5):469-74. doi: 10.1177/036354658801600507.
A retrospective follow-up study is presented on the results in 51 patients who underwent the modified Bristow procedure for recurrent anterior shoulder dislocation or subluxation between 1972 and 1982. The average follow-up period was 95 months. Postoperatively, 6% of the patients had recurrent anterior dislocation and 4% had recurrent anterior subluxations. Another 4% of the patients developed posterior subluxation after surgery. Seventy-six percent of the patients felt that there was no postoperative limitation in their activities. Eighteen percent felt limited in throwing sports and 4% felt limited in swinging sports. Fourteen percent of the patients had screw complications that involved screws causing pain (6%), fractured screws (4%), bent screws (2%), and loose screws (2%). Additional surgical procedures were required in 14% of patients: screw removal (8%), hematoma drainage (2%), and reoperation using the modified Bristow procedure (4%). Ninety-two percent of the patients assessed their surgical results as excellent or good.
本文呈现了一项回顾性随访研究的结果，研究对象为1972年至1982年间接受改良布里斯托手术治疗复发性肩关节前脱位或半脱位的51例患者。平均随访期为95个月。术后，6%的患者出现复发性肩关节前脱位，4%的患者出现复发性肩关节前半脱位。另有4%的患者术后出现肩关节后半脱位。76%的患者感觉术后活动无受限。18%的患者感觉在投掷运动方面受限，4%的患者感觉在摆动运动方面受限。14%的患者出现螺钉并发症，包括螺钉引起疼痛（6%）、螺钉断裂（4%）、螺钉弯曲（2%）和螺钉松动（2%）。14%的患者需要额外的手术操作：取出螺钉（8%）、血肿引流（2%）以及采用改良布里斯托手术再次手术（4%）。92%的患者对手术结果评价为优秀或良好。
