Braly W G, Tullos H S
Am J Sports Med. 1985 Mar-Apr;13(2):81-6. doi: 10.1177/036354658501300201.
A modification of the Bristow procedure for recurrent anterior shoulder dislocation and subluxation is presented. This report includes 20 shoulders in 20 patients available for adequate followup operated on by senior author from April 1976 to August 1981. The average follow-up period was 42.5 months (3.5 years). The average age at the time of surgery was 24.7 years. No recurrences were noted in the follow-up period. Complications related to screw fixation with Woodruff screws occurred early in the series in three patients (15%), but did not result in instability. Range of motion measurements postoperatively emphasized quantitation of external rotation at 90 degrees of abduction in the operated as compared to the nonoperated shoulder. The average loss of external rotation was 10.3 degrees. Excluding one poor result, this equated to an average loss of only 7.4 degrees. Fourteen of 16 operated dominant arms (87.5%) returned to throwing and overhead motion sports postoperatively. A description of the operative procedure and postoperative rehabilitation course is included. This modification emphasizes accurate and firm repair of the Bankart lesion under excellent operative exposure allowing institution of early range of motion exercises.
本文介绍了一种针对复发性肩关节前脱位和半脱位的改良布里斯托手术。本报告纳入了1976年4月至1981年8月期间由资深作者实施手术且可进行充分随访的20例患者的20个肩关节。平均随访时间为42.5个月（3.5年）。手术时的平均年龄为24.7岁。随访期间未发现复发情况。在该系列手术早期，有3例患者（15%）出现了与使用伍德拉夫螺钉进行螺钉固定相关的并发症，但未导致关节不稳定。术后活动度测量重点在于对比手术侧与非手术侧肩关节在外展90度时的外旋定量情况。外旋平均损失为10.3度。排除1例效果不佳的病例后，这相当于平均仅损失7.4度。16例接受手术的优势侧手臂中有14例（87.5%）术后恢复了投掷和过顶运动。文中还包括了手术步骤及术后康复过程的描述。这种改良强调在良好的手术视野下准确、牢固地修复Bankart损伤，从而能够尽早开展活动度练习。
