Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation
<i>Background and Objectives</i>: 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 articula...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/10/1736 |
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| author | Srđan Ninković Vukadin Milankov Milan Tošić Milan Majkić Branko Baljak Milan Milinkov Mirko Obradović |
| author_facet | Srđan Ninković Vukadin Milankov Milan Tošić Milan Majkić Branko Baljak Milan Milinkov Mirko Obradović |
| author_sort | Srđan Ninković |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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. <i>Results</i>: 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. <i>Conclusions</i>: 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. |
| first_indexed | 2024-03-10T21:05:21Z |
| format | Article |
| id | doaj.art-fa7c81ec4c1b4d6bbd317d49d5ed2775 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T21:05:21Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-fa7c81ec4c1b4d6bbd317d49d5ed27752023-11-19T17:16:26ZengMDPI AGMedicina1010-660X1648-91442023-09-015910173610.3390/medicina59101736Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder DislocationSrđan Ninković0Vukadin Milankov1Milan Tošić2Milan Majkić3Branko Baljak4Milan Milinkov5Mirko Obradović6Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, SerbiaFaculty of Medicine, Department of Surgery, University of Novi Sad, 21000 Novi Sad, SerbiaClinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, SerbiaClinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, SerbiaClinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, SerbiaClinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, SerbiaClinic for Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, 21000 Novi Sad, Serbia<i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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. <i>Results</i>: 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. <i>Conclusions</i>: 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.https://www.mdpi.com/1648-9144/59/10/1736shoulderhumeral headshoulder dislocationshoulder fracturesallografts |
| spellingShingle | Srđan Ninković Vukadin Milankov Milan Tošić Milan Majkić Branko Baljak Milan Milinkov Mirko Obradović Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation Medicina shoulder humeral head shoulder dislocation shoulder fractures allografts |
| title | Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation |
| title_full | Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation |
| title_fullStr | Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation |
| title_full_unstemmed | Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation |
| title_short | Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation |
| title_sort | segmental humeral head reconstruction in patients with chronic locked posterior shoulder dislocation |
| topic | shoulder humeral head shoulder dislocation shoulder fractures allografts |
| url | https://www.mdpi.com/1648-9144/59/10/1736 |
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