Abstract
The frequency of the dislocation of shoulder is higher than that of the other joints, and in spite of satisfactory reduction and maintenance for more than three weeks, some patients develop redislocations and need some further treatment. Since 1923, when Bankart described his method of rebuilding the support of the glenoid labrum, many operations have been designed to treate the recurrent dislocation of the shoulder, but only limited success was obtained. We experienced total 53 cases of the dislocation of shoulder during the period from January 1980 to December 1989, and among those cases, we analyzed the result of 15 combined Bankart and Putti-Platt operations done for the recurrent dislocation of the shoulder with average follow-up period of 19 months. l. Among the 53 cases, acute dislocation was 6, acute fracture-dislocation 16, old unreduced dislocation 3, and recurrent dislocation 28. 2. Operations were done for 25 recurrent dislocations, and among them, there were 3 capsulorrhapies such as Bankart, 5 shortening and reefing of the subscapularis such as Putti-Platt., 15 combined Bankart and Putti-Platt operations, and 2 others. 3. The results of the analysis of the 15 combined Bankart and Putti-Platt operations were as follows:1) There were 14 males and 1 female, whose ages ranging from 15 to 41 years. 2) The ages in initial dislocation were ranged from 13 to 40 years. 3) On radiological finding, Hill-Sachs lesion was found in 47%. On intraoperative finding, Hill-Sachs lesion was seen in 80% of the cases. Bankart lesion or the erosion of the glenoid rim were found in 73% of the cases. 4) Limitation of external rotation was measured in 10°to 65°averaging 29°5) During the follow-up period, there were no redislocation and no significant complication. 4. In conclusion, combined Bankart and Putti-Platt operation was thought to be a good surgical procedure that gives acceptable functional results.