Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder. (August 2014)

• Record Type: Journal Article
• Authors: Chandra, Rajesh; Sharma, VK; Mahajan, Sumit; Bansal, Manish; Arora, Sumit
• Is Part Of: Journal of orthopaedic surgery. Volume 22:Number 2(2014)
• Page Start: 204
• Page End: 208
• Publication Date: 2014-08
• Subjects: osteotomy -- shoulder dislocation; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic surgery; Periodicals; 617.3
• DOI: 10.1177/230949901402200218
• Languages: English
• ISSNs: 1022-5536

Abstract

Purpose: To evaluate results of the modified Boytchev procedure for recurrent anterior dislocation of the shoulder in 60 patients. Methods: Medical records of 45 men and 15 women aged 20 to 44 years who underwent the modified Boytchev procedure for recurrent anterior dislocation of the right (n=44) and left (n=16) shoulders were reviewed. The mean number of dislocations was 14. Outcome was evaluated using the Burkhead and Rockwood criteria. Results: The mean follow-up period was 56 months. Outcome was excellent in 32 patients, good in 21, and fair in 7. None had poor outcome. The mean external rotation deficit at 0° and 90° of abduction improved from 14° to 7° (p=0.04) and 18° to 7° (p=0.03), respectively. Two patients had fragmentation of the coracoid process, which was fixed with non-absorbable suture. Two patients had traction injury to the musculocutaneous nerve, which recovered after 6 months. One patient had recurrent dislocation that ruled out the chance of revision surgery. Conclusion: The modified Boytchev procedure is a viable and simple treatment for recurrent anterior shoulder dislocation.