Osteoarthrosis following the Putti-Platt operation

The objective of this study was to search for any degenerative changes in the shoulder joint following the Putti-Platt operation in a long-term follow up study, as most papers regarding that operation report a redislocation rate and a limitation of external rotation, but only a few mention osteoarth...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 1996-04, Vol.115 (3-4), p.231-232
Main Authors: KÖNIG, D. P, RÜTT, J, TREML, O, KAUSCH, T, HACKENBROCH, M. H
Format: Article
Language:English
Subjects:
Adult
Age Factors
Biological and medical sciences
Follow-Up Studies
Humans
Joint Capsule - surgery
Medical sciences
Orthopedic surgery
Osteoarthritis - diagnostic imaging
Postoperative Complications - diagnostic imaging
Radiography
Shoulder Dislocation - surgery
Shoulder Joint
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Procedures, Operative - methods
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Summary:The objective of this study was to search for any degenerative changes in the shoulder joint following the Putti-Platt operation in a long-term follow up study, as most papers regarding that operation report a redislocation rate and a limitation of external rotation, but only a few mention osteoarthrosis (OA). Patients operated on between 1945 and 1971 answered a questionnaire and were invited for a clinical examination including standard X-rays of the shoulder. These films were compared with those taken preoperatively. OA was classified according to the Samilson and Prieto grading. Twenty-six patients could be re-examined on average 26 years after the operation. Fifteen had evident radiological signs of OA. According to Samilson and Prieto there were 11 mild, 2 moderate and 2 severe cases of OA. Nine patients had a Hill-Sachs defect and 3, a Bankart lesion. Patients over the age of 25 years at the time of the first dislocation developed OA more often. Following the Putti-Platt operation one has to expect radiological signs of OA in a long-term follow-up. Mainly minor forms are seen. Older patient age at the time of the first dislocation is a predisposing factor for the development of OA.
ISSN:0936-8051
1434-3916
DOI:10.1007/BF00434561