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Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation.
Ninkovic, Srdan; Milankov, Vukadin; Tosic, Milan; Majkic, Milan; Baljak, Branko; Milinkov, Milan; Obradovic, Mirko.
Afiliación
  • Ninkovic S; Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, Serbia.
  • Milankov V; Faculty of Medicine, Department of Surgery, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Tosic M; Faculty of Medicine, Department of Surgery, University of Novi Sad, 21000 Novi Sad, Serbia.
  • Majkic M; Institute for Children and Youth Health Care of Vojvodina, 21000 Novi Sad, Serbia.
  • Baljak B; Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, Serbia.
  • Milinkov M; Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, Serbia.
  • Obradovic M; Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, Serbia.
Medicina (Kaunas) ; 59(10)2023 Sep 28.
Article en En | MEDLINE | ID: mdl-37893454
Background and Objectives: The goal of this study was to evaluate the functional outcomes of patient treatment using an allograft after chronic locked posterior shoulder dislocation associated with a bony defect of the upper edge of the humerus that involves 25-50% of the articular surfaces. Materials and Methods: A total of 20 patients were included in this study. Electrocution was the cause of injury in eight patients; in ten patients, the cause was direct trauma; and in two patients, the cause of injury was a fall due to hypoglycemic coma. A standard deltoid pectoral approach was used and a fresh-frozen osteochondral allograft of the femoral condyle was applied. In evaluating the results, Constant's scoring scale was used. Results: The average value of Constant's point scale for the operated shoulder is 84.14 points. This result is good according to the average value of Constant's point scale. Conclusions: Patients with locked chronic posterior dislocation in combination with a bony defect of the humeral head that covers 25-50% of the articular surface, in our opinion, should be treated using bone allografts rather than non-anatomical reconstruction methods.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro Límite: Humans Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro Límite: Humans Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article Pais de publicación: Suiza