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RECURRENT DISCLOCATION OF THE SHOULDER A Twenty-Four Year Study of the Johannesburg Stapling Operation
G. T. Du Toit; D. Roux
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Department of Orthopaedics, Witwatersrand University, Johannesburg
1956 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1956; 38:1-12 
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Abstract

1. In traumatic recurrent dislocation of the shoulder, a diagnosis of the Bankart lesion may be given with confidence and the operation planned accordingly.

2. The unsatisfactory results that sometimes occur after the stapling operation appear to be due to technical failure or to lack of judgement in diagnosing the lesion.

3. In cases of congenital abnormal mobility of the shoulder, the stapling operation is not the best procedure to use.

4. Where the Bankart lesion is present, the cure may be achieved by repairing the lesion only. There is almost never any need for additional procedures such as overlapping of the capsule, plication, or suspension.

5. Permanent disability is minimal after this procedure because no anatomical damage need be done.

6. Complications are rare, and no serious complications arising out of the use of staples were found in this series.

7. The remote prognosis for the patients in this series appears to be satisfactory.

8. The stapling operation has been found a simple and efficient alternative to the original dental drilling and suture of the Bankart operation.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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