Risk of XXXX after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders.

@entity1 @entity528 @entity2720 @entity3029
BACKGROUND: Transfer of the coracoid (Bristow-Latarjet [B-L]) is used to stabilize anterior shoulder instability. We report the long-term results of our first 31 operations with this method. MATERIALS AND METHODS: Thirty-six @entity1 (mean age, 26.7  years) had a B-L repair from 1977 to 1979. Five @entity1 died, and during 2012 to 2013, the remaining 31 shoulders had a follow-up with questionnaire, physical examination, Western Ontario Shoulder Instability Index, Subjective Shoulder Value, Subjective Assessment of Shoulder Function, subjective assessment of loss of motion, and radiologic imaging. RESULTS: One @entity1 required revision surgery because of recurrence and another because of repeat dislocation. Six @entity1 reported subluxations. Eighteen @entity1 (58%) were very satisfied, and 13 (42%) were satisfied. The mean Western Ontario Shoulder Instability Index score (100 possible) was 85, and the median score was 93. According to Samilson-Prieto classification of @entity2720 of the shoulder, 39% were classified as normal, 27% as mild, 23% as moderate, and 11% as severe. The classification of @entity2720 varied with observers and radiologic views. Age younger than 22  years at the @entity3029 meant less @entity2720 at follow-up (P  =  .045). CONCLUSION: The degree of @entity2720 33 to 35  years after the B-L repair seems to follow the natural history of shoulder dislocation with respect to @entity528 . Postoperative restriction of external rotation does not increase later @entity2720 .
