%0 Journal Article
%T Segmental Humeral Head Reconstruction in Patients with Chronic Locked Posterior Shoulder Dislocation.
%A Ninković S
%A Milankov V
%A Tošić M
%A Majkić M
%A Baljak B
%A Milinkov M
%A Obradović M
%J Medicina (Kaunas)
%V 59
%N 10
%D 2023 Sep 28
%M 37893454
%F 2.948
%R 10.3390/medicina59101736
%X 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.