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March 17, 1962

Simplified Putti-Platt Procedure

Author Affiliations

New York City

From the New York Veterans Administration Hospital and New York University School of Medicine.

JAMA. 1962;179(11):859-862. doi:10.1001/jama.1962.03050110027005

Twenty-six consecutive cases of recurrent dislocation of the shoulder joint were treated by a simplified operative technique. Detachment of the labrum and a defect in the posterolateral portion of the humeral head were the most frequent findings at the operation. The joint was closed by suturing the lateral stump and subscapularis muscle as one layer. of the capsule and subscapularis tendon as one layer to the periosteal tissues along the scapular neck and overlapping it with the medial portion of the capsule The average follow-up period was 3.7 years. There were no postoperative recurrences. Loss of external rotation averaged 20 degrees; abduction, 5 degrees. Preoperative activity was resumed, on the average, in 2 months. This procedure is advocated because of its relative simplicity, apparent reliability, and good functional results.

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