Pap G, Machner A, Merk H
Orthopädische Universitätsklinik Magdeburg.
Zentralbl Chir. 1997;122(5):321-6.
We reviewed 31 patients with recurrent traumatic anterior shoulder dislocations, being operated with the Latarjet-Bristow procedure consecutively between March 1991 and March 1994. The average follow-up time was 31.2 months. According to the Rowe-score results were estimated as excellent in 45.1% and as good in 38.7%. New shoulder dislocations occurred in one case, resulting in a new shoulder dislocation rate of 3.2 per cent. Deficits in the external rotation of more than 5 degrees compared with the not operated side were seen in 15 patients. In two patients 7 respectively 9 months after the operation loosenings of the screws happened, but were without any effect on the functional outcome of the operation. The Latarjet-Bristow procedure proved to be a very safe method with a low redislocation rate, few complications and good functional results. Because of limitations in external rotation, however, this method should only be performed in cases in which an anatomic labrum reconstruction is hardly possible.
我们回顾了1991年3月至1994年3月期间连续接受Latarjet-Bristow手术治疗的31例复发性创伤性肩关节前脱位患者。平均随访时间为31.2个月。根据Rowe评分结果，45.1%为优，38.7%为良。1例出现新的肩关节脱位，新脱位率为3.2%。15例患者与未手术侧相比，外旋缺失超过5度。2例患者分别在术后7个月和9个月出现螺钉松动，但对手术功能结果无任何影响。Latarjet-Bristow手术被证明是一种非常安全的方法，脱位率低，并发症少，功能结果良好。然而，由于外旋受限，这种方法仅应在几乎不可能进行解剖学盂唇重建的病例中实施。
