Modifitsirovannye sposoby Bristow-Latarjet pri lechenii perednego privychnogo vyvikha plecha

The modifications of Bristow-Latarjet operation were developed. 228 patients were operated using these methods. The trauma was the origin of repeated dislocations in 134 cases, and the dysplasia of joint - in the rest 94 cases. There were 194 (85,1%) men and 34 (14,9%) women. Patients at the age of 20 till 40 prevailed - 157 (68,9%). The treatment follow-up was studied in 209 (91,7%) patients in the period from 1 till 15 years. The examination included: radiography and the contrast arthrography of joint in two projections, computer tomography and contrast computer tomography, the US (ultrasonic scanning) of humeral joints, the electromyogram and electroneuromyogram of shoulder girdle muscles. According to the results of the examination operations for the replacement of the bony defect of the anterior edge of glenoid cavity, operations for the increase in the articular platform of scapula and capsular plasty were carried out. These methods allow not only to restore anatomical interrelation in humeral joint and strengthen its anterior wall, but also to eliminate the persistent disjunction of the jointed surfaces of humeral bone head and glenoid cavity that allows to generate the dynamic stability of humeral joint.

Bristow-Latarjet method, treatment, anterior shoulder-slip