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

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.