Modified Boytchev procedure for treatment of recurrent anterior dislocation of shoulder

Background: More than 200 different operations have been described for the treatment of recurrent anterior dislocation of shoulder. The Modified Boytchev procedure employs rerouting of the detached tip of coracoid process with its attached conjoined tendon (short head of biceps and coracobrachialis)...

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Bibliographic Details
Published in:Indian journal of orthopaedics 2011-07, Vol.45 (4), p.336-340
Main Authors: Garg, Anant Kumar, Ayan, Saankritya, Keshari, Vikas, Kundu, Debi, Mukhopadhyay, Kiran Kumar, Acharyya, Biplab
Format: Article
Language:English
Subjects:
Conservative Orthopedics
Diseases
Injuries
Medicine & Public Health
Original
Original Article
Orthopedics
Relapse
Shoulder
Surgical Orthopedics
Surgical techniques
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Summary:Background: More than 200 different operations have been described for the treatment of recurrent anterior dislocation of shoulder. The Modified Boytchev procedure employs rerouting of the detached tip of coracoid process with its attached conjoined tendon (short head of biceps and coracobrachialis) deep to subscapularis and reattaches to its anatomical location. We conducted a study on evaluation of long-term effect of modified Boytchev procedure and to compare our results with other studies published in literature. Materials and Methods: Since June 2002, modified Boytchev procedure was performed on 48 patients, who presented with recurrent anterior dislocation. 45 were men and 3 were women and were in the age group of 18–40 years (mean 27.83±4.95 years). Forty patients were affected on the dominant side and rest on the non-dominant side. The mean number of dislocations in these patients was 18.22±12.08. The mean followup period was 58.13±19.06 months (range 18-96 months). The patients were evaluated by visual analogue score, modified American Shoulder and Elbow Surgeon’s Score (ASES), and Single Assessment Numeric Evaluation (SANE) score at the last followup. Results: All the patients regained almost preoperative range of forward flexion at the last followup. In the preoperative period the mean external rotation deficit at 0° and at 90° of abduction was 13.22°±5.16° and 18.06°±6.50°, respectively. At the last followup, the mean external rotation deficit at 0° and at 90° of abduction was 8.06°±2.47° and 8.95°±2.07°, respectively. This improvement in external rotation deficit was statistically significant ( P
ISSN:0019-5413
1998-3727
DOI:10.4103/0019-5413.82340