PDF(Pubmed)
Abstract：
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.
摘要：
背景和目的：本研究的目的是评估慢性锁骨后肩关节脱位后使用同种异体移植物治疗患者的功能结果，该患者的肱骨上缘骨缺损涉及25-50％的关节面。材料与方法：本研究共纳入20例患者。电死是8名患者受伤的原因；在10名患者中，原因是直接创伤；在两名患者中，受伤原因是低血糖昏迷。使用标准的三角肌胸肌入路，并应用新鲜冷冻的股骨con骨软骨同种异体移植物。在评估结果时，使用常量的评分量表。结果：手术肩的Constant\'s点量表的平均值为84.14分。根据常量点刻度的平均值，这个结果是好的。结论：锁定性慢性后脱位患者合并肱骨头骨缺损，覆盖25-50％的关节面，在我们看来,应该使用同种异体骨移植而不是非解剖重建方法进行治疗。
