Results of the original Putti-Platt procedure for shoulder instability: review of Putti's scholar experience

Citation
S. Zaffagnini et al., Results of the original Putti-Platt procedure for shoulder instability: review of Putti's scholar experience, KNEE SURG S, 8(5), 2000, pp. 314-319
Citations number
45
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
ISSN journal
09422056 → ACNP
Volume
8
Issue
5
Year of publication
2000
Pages
314 - 319
Database
ISI
SICI code
0942-2056(200009)8:5<314:ROTOPP>2.0.ZU;2-E
Abstract
Twenty patients who underwent Putti-Platt shoulder capsulorraphy were retro spectively evaluated at long-term follow-up (24-34 years). The aim of this study was to analyse the efficacy and possible degenerative changes associa ted with this procedure. Patients' charts were reviewed to analyse the pre- operative picture, surgical technique and postoperative program. All patien ts were re-examined using ASES, Rowe and Lysholm scales. Range of movement (ROM) of the shoulder operated on was compared with the non-operated one. A -P, axillary and outlet views were taken for radiographic control. Samilson criteria were followed to determine the degree of arthrosis. Clinical outc ome was satisfactory in 85% of the cases with only three cases with fair re sults (15%). No recurrence was present in this series. The mean limitation of external rotation in abduction was 9 degrees with respect to the contra- lateral shoulder. Severe degenerative changes were observed in two cases. I n conclusion, after a long follow-up period, the Putti-Platt technique has shown highly satisfactory results, with an incidence of loss of motion and joint degeneration changes similar to other procedures.