Banas M P, Dalldorf P G, Sebastianelli W J, DeHaven K E
Department of Orthopaedics, University of Rochester School of Medicine, New York.
Am J Sports Med. 1993 Sep-Oct;21(5):666-71. doi: 10.1177/036354659302100505.
A total of 86 modified Bristow procedures were performed for anterior shoulder instability between 1975 and 1987. Followup on 79 shoulders (92%) was obtained at an average postoperative time of 8.6 years. The redislocation rate was 4%. Average motion loss was 5 degrees of internal rotation and 9 degrees of external rotation. Fifteen percent of the patients examined expressed mild apprehension with the shoulder abducted and externally rotated. Radiographic bone union of the coracoid transplant was noted in 82% of patients. Additional surgical procedures were required in 14% of patients. Seventy-three percent of the reoperations were for screw removal because of persistent shoulder pain. The average subjective shoulder function was rated at 86% of preinjury level. All throwing athletes were able to return to throwing, although 54% of the patients with dominant shoulder involvement noted a decrease in throwing velocity. Ninety-seven percent of the patients rated their results as good or excellent.
1975年至1987年间，共对86例因肩关节前脱位行改良布里斯托手术。对79例（92%）患者进行了随访，术后平均随访时间为8.6年。再脱位率为4%。平均活动度损失为内旋5度和外旋9度。15%接受检查的患者在肩关节外展和外旋时表现出轻度恐惧。82%的患者可见喙突移植骨的影像学骨愈合。14%的患者需要再次手术。再次手术的患者中，73%是因为持续的肩部疼痛而取出螺钉。主观肩关节功能平均评定为伤前水平的86%。所有投掷运动员均能恢复投掷，尽管54%优势肩受累的患者投掷速度有所下降。97%的患者对其结果评定为良好或优秀。
