Strategies in Trauma and Limb Reconstruction

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VOLUME 8 , ISSUE 3 ( November, 2013 ) > List of Articles

Original Article

Outcome after modified Putti-Platt procedure for recurrent traumatic anterior shoulder dislocations

Gijs I. T. Iordens, Esther M. M. van Lieshout, Bernd C. Van Es, Niels W. L. Schep, Roelf S. Breederveld, Peter Patka, Dennis Den Hartog

Keywords : Shoulder, Instability, Bankert, Putti-Platt, Procedure

Citation Information : Iordens GI, van Lieshout EM, Van Es BC, Schep NW, Breederveld RS, Patka P, Den Hartog D. Outcome after modified Putti-Platt procedure for recurrent traumatic anterior shoulder dislocations. 2013; 8 (3):141-147.

DOI: 10.1007/s11751-013-0171-x

License: CC BY-NC-SA 4.0

Published Online: 30-11-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Most recent studies on procedures for stabilizing the glenohumeral joint focus on arthroscopic techniques. A relatively simple open procedure is the modified Putti-Platt procedure. The aim of these retrospective case series was to evaluate the functional outcome, patient satisfaction, and quality of life of patients who underwent this procedure. After a median follow-up time of 4.7 (P25–P75 1.7–6.8) years, fifty-one patients could be enrolled with a mean age of 25 (21–39) years. Five patients (10 %) reported re-dislocations. The median Constant score for the affected side was 84 (P25–P75 75–91). Median loss of motion in abduction, elevation, external rotation, and external rotation in 90° of abduction did not exceed 10° when compared to the healthy shoulder. A median Rowe score of 92 (P25–P75 75–95) was measured. The WOSI score and SF-36 showed excellent quality of life. The VAS proved high patient satisfaction with the outcome; 7.9 (6.8–9.5). We concluded that the modified Putti-Platt procedure leads to excellent outcome scores and only marginal restriction in range of motion combined with a high patient satisfaction. Our data prove that excellent results can be obtained with a relatively simple open procedure.

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