PUTTI-PLATT REPAIR FOR RECURRENT ANTERIOR DISLOCATION OF SHOULDER

 

Make skin incision along medial border of deltoid from pectoralis major to coracoid process. Then continue the line of incision laterally to reach the acromion

Expose the deltopectoral groove and ligate the cephalic vein. Find the thoracoacromial arterial branches and divide them

Secure the deltoid and divide it 1cm from its insertion to the clavicle. Then turn the deltoid,skin and subcutaneous tissue laterally to expose deeper stratum. Then secure the coracobrachialis and short head of biceps which are divided on their lateral side to expose the subscapularis above and teres major below

Place stay stitches on subscapularis and divide it to expose the capsule of shoulder joint.

Overlap the anterior capsule, which is lax and reinforce it with subscapularis. This is the Putti-Platt procedure.