An axillary approach for a Putti-Platt repair.

Eighty-seven Putti-Platt repairs for traumatic recurrent anterior dislocations of the shoulder have been performed, utilizing the anterior axillary approach. This approach facilitated the surgical repair so well that its use has been continued. The anterior axillary approach provides an excellent exposure of key anatomical structures. This is obtained by undermining the skin. The blood loss has been minimal. Infection is rare and wound healing is rapid. The surgical scar is minimal and inconspicuous. This exposure requires one assistant, which can significantly shorten the operative time.