Clinical Investigation

Complications in Modified Bristow Procedure

  • Namik SAHIN
  • Naci EZIRMIK

Received Date: 24.03.2004 Accepted Date: 02.11.2004 Meandros Med Dent J 2004;5(3):27-31

Objectives: The modified Bristow procedure is successful in preventing recurrent instablity but can result in some complications. We evaluated the complications and their treatment in patients with traumatic anterior shoulder dislocation who were treated with this procedure. Method: Between 1987-1995 twenty shoulders in nineteen patients (1 female, 18 male; mean age 23.7 years, range 17-53 years) with traumatic anterior shoulder dislocation underwent the modified Bristow procedure. The patients were evaluated clinically and radiologically at 1st and 2nd weeks and 1st , 2nd, 4th, 6th and 12th months The complications and their treatment were retrospectively analysed. The mean follow-up time was 72 months (36-98) months. Results: We had only one redislocation (5%) due to a minor trauma in the eighth month after surgery. The transferred tip of the coracoid was fractured in one shoulder (5%) during surgery. Five patients (25%) had hypoestesia on the anterior and anterolateral aspect of the shoulder due to musculocutaneous nerve traction injury which healed in 1-6 months. Motion loss was 11.20 (5-200) in elevation on scapular plane in four shoulders (20%),12.50 (5-300) in internal rotation in six shoulders (30%) and 20.80 in external rotation in twelve shoulders (60%). Conclusion: The Bristow procedure is succesful in preventing recurrent dislocations, but a wide range of minor and serious complications and loss of external rotation can occur. We concluded that anterior stabilisation procedures that focus on reconstruction of pathologic lesions should be preferred in these patients.

Keywords: Modified Bristow procedure, complications