Operation of du toit/roux for recurrent anterior dislocation of the shoulder

Abstract

Restoration of stability and function of the shoulder. Recurrent posttraumatic anterior shoulder dislocation with detachment of the anterior part of the labrum and the capsule. Absence of detachment of anterior soft tissues in patients with habitual dislocation or multidirectional instability. Big Hill-Sachs lesion. Poor local skin conditions Poor general health. Anterolateral deltoperatoral approach. External rotation and exposure of the tendinous part of the subscapularis which is cut in a tongue shaped fashion. Exposure of the detachment of labrum and capsule at the scapular neck. After freshening of the rim of the glenoid labrum and capsule are fixed there with a staple. Stuture of the capsule. Reattachment of the subscapularis. Wound closure in layers. Immobilization in a shoulder-arm bandage (Gilchrist). Early functional after treatment. Clinical and radiological follow-up of 48 out of 55 operated patients after a mean of 2.8 years (1 to 10 years). Of this group 20 patients filled in a questionnaire after 11 to 12 years. The incidence of early recurrence was 2% and of late recurrence 5%. An excellent to good subjective result was reported by 90% of the patients, even at the longer follow-up.