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

Abstract

Twenty patients who underwent Putti-Platt shoulder capsulorraphy were retrospectively evaluated at long-term follow-up (24-34 years). The aim of this study was to analyse the efficacy and possible degenerative changes associated with this procedure. Patients' charts were reviewed to analyse the pre-operative picture, surgical technique and post-operative program. All patients 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 outcome was satisfactory in 85% of the cases with only three cases with fair results (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. In 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.