Summary
Recurrent dislocation of the shoulder has long been recognized, and more than 100 techniques for repair of the injury are described. This survey describes 113 patients who suffered from recurrent anterior dislocation of the shoulder and were operated upon in accordance with the Putti Platt technique.
The most significant preoperative finding was inadequate immobilization after the primary dislocation (62% of the patients). Postoperative recurrence was uncommon (1%) and a relative increased limitation of motion in the postoperative period improved gradually to almost a full range of movement.
Zusammenfassung
Die Problematik der residivierenden Schulterluxationen ist seit langem bekannt. Zu ihrer Behandlung sind bisher mehr als 100 verschiedene Operationen beschrieben worden.
Dieser Überblick beschreibt 113 Patienten, die wegen rezidivierender Schulterluxationen ausnahmslos nach der Putti-Platt-Operationstechnik operiert wurden. Der signifikante Befund in der Vorgeschichte war eine mangelhafte Ruhigstellung des Gelenkes nach der ersten Luxation (bei 62% der Patienten). Nach dem operativen Eingriff wurden nur wenig Reluxationen (1%) aber eine relativ ausgeprāgte Bewegungseinschränkung beobachtet, die sich jedoch allmählich, bis zur annähernd vollen Beweglichkeit verbesserte.
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Pritsch, M., Engel, J., Horoszowski, H. et al. Recurrent dislocation of the shoulder and the Putti Platt operation. Arch. Orth. Traum. Surg. 101, 133–135 (1983). https://doi.org/10.1007/BF00433273
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DOI: https://doi.org/10.1007/BF00433273