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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 1 | Pages 73 - 76
1 Jan 1995
Singer G Kirkland P Emery R

We report the 20-year results of Bonnin's modification of the Bristow-Latarjet procedure in 14 patients operated on by one surgeon. All but one patient had had traumatic dislocations. At review, the Rowe scores were excellent in five, good in eight and fair in one. The functional outcome was satisfactory, with a mean Constant-Murley score of 80 points (68 to 95), but 12 patients had restriction of external rotation (86%). There were radiological degenerative changes in ten shoulders (71%): six in Samilson grade I, one in grade II, and three in grade III. Isometric power was considerably reduced in patients with grade-III degenerative change. This operation provides good long-term shoulder stability, but the high incidence of radiological degenerative change is a cause for concern.