2013, Number 2
Revista Cubana de Ortopedia y Traumatología 2013; 27 (2)
Salles BG, Cabrera VN, Carballal CR, Betancourt FI
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ABSTRACTIntroduction: open treatment of anterior-inferior shoulder instability has been conducted with various techniques, including modified derivative T-capsuloplasty.
Objective: evaluate the results of the aforementioned capsuloplasty in terms of stability, range of movement and patients' return to their routine activities.
Methods: retrospective study of a series of 22 patients diagnosed with anterior and anterior-inferior instability undergoing modified derivative anterior capsuloplasty from January 2000 to 2012.
Results: at three months, evaluation was excellent in 15 patients and good in 7. At six months it was excellent in 20 / 22 patients. At a year, all evaluations were excellent. All patients returned to their routine activities between two and eight months after surgery. Among them were four athletes, who reintegrated to their previous competition level. There were complications in three patients, which were solved with medical treatment. One of them was a subluxation. Average loss of external rotation ranged from 0º to 10º, with a mean 5º at three months. This could be associated with the degree of tension during the capsuloplasty.
Conclusions: modified derivative T-capsuloplasty is a good technique for anteriorinferior shoulder instability without Bankart lesion. It ensures a high rate of stability, and preserves a full or almost full range of movement with a low rate of complications.