Rotation osteotomy of the shaft of the humerus for recurrent dislocation of the shoulder: anterior and posterior.
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The Bankart procedure is considered to be the common treatment for anterior instability of the shoulder but despite its popularity there have been no studies on the long-term outcome of this method. Results in 16 patients (14 males, 2 females, aged 19-35) treated with Bankart procedure are presented. Assessment of the results was based on postoperative clinical examination and a questionnaire (filled by a patient) inclusive of history of instability, level of pain, ability of the patient to function at home, at work and during sports. No instability has been found after the operation. Mean restriction of external rotation was 15 degrees, no other movement restriction occurred. Good clinical results were achieved in all cases, majority of patients admit high level of satisfaction.
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The authors report the results of 110 shoulder capsulorrhaphies performed according to the Bankart-Delitala technique. After a mean period of 104 months +/- 63 the clinical results, evaluated on the basis of the Rowe method were excellent-good in 94.6% of cases, and fair-poor in 5.4%. In 83.6% of cases there was no deficit in motility of the shoulder submitted to surgery, in 16.4%, the shoulder presented deficit in extrarotation (exceeding 15 degrees in only 1 case, equal to 0.9%).
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A review of fifty-one cases of the modified Bristow procedure for recurrent anterior shoulder instability is presented. The results were favorable. The redislocation rate was 2% with few complications. The average limitation of motion was 11 degrees of external rotation. Athletic individuals with involvement of the dominant shoulder were not capable of returning to high performance levels of overhead sports activity (particularly throwing) after the operation.
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