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首页> 外文期刊>Patient Safety in Surgery >Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
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Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients

机译：锁后肩关节脱位后肱骨近端旋转截骨术治疗内旋不稳：四例患者的早期经验

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Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/? 11?years old and the average follow up was 22 +/? 8?months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22?months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/? Standard deviation): Abduction: 125 +/? 29°, Forward flexion: 135 +/? 17°, Internal rotation: 65 +/? 17°, External rotation: 62 +/? 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability.
机译：背景我们进行了一项回顾性和描述性研究，以确定在肱骨头部明显凹陷的年轻患者中肱骨近端旋转截骨术的可行性，这些患者可能不是肩关节置换术的理想人选。方法2000年至2011年，对4例平均年龄40岁的后锁关节脱位并伴有Hill-Sachs反向病变的患者进行了旋转截骨术。平均年龄为40 + /？ 11岁，平均随访时间为22 + /？ 8个月。评估肩部稳定性，运动范围，影像学结果和术后并发症。术后平均随访时间为22个月（12-30个月）。结果在最后一次随访中，肩膀的平均运动范围如下（平均值±标准偏差）：外展：125± 29°，前屈：135 + /？ 17°，内旋转：65 + /？ 17°，外旋转：62 + /？ 10°。没有伤口或神经系统并发症，也没有脱位。患者对其功能状态感到满意，并且没有任何进一步的不稳定性或肩袖功能障碍的症状。结论肱骨近端旋转截骨术治疗急性后路肩关节后脱位可能是年轻人群的可行选择，可通过立即稳定而促进这些患者的康复。

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