On-line version ISSN 2309-8309
Print version ISSN 1681-150X
SA orthop. j. vol.8 n.1 Pretoria Jan. 2009
Dr R BhagaI; Dr AA AdenII
IIFCS(Orth) SA;Senior consultant; Department of Orthopaedics, University of Witwatersrand, Helen Joseph Hospital, Johannesburg, South Africa
AIM: To determine the functional outcome of patients undergoing McLaughlin procedure for chronic locked posterior dislocation of the shoulder.
METHODS: A retrospective review of six patients who underwent this procedure was carried out. There were four females and two males. Ages ranged from 27 years to 68 years (mean age of 46.5 years). The average time interval between injury and presentation was 26.5 weeks (range 3-65 weeks). These procedures were all performed by the senior author (AAA) between 2003 and 2007. Patients were followed up clinically and radiologically for an average of 10.1 months (range 6-24 months). Outcome was assessed in terms of function, pain and patient satisfaction with the help of the Constant and Murley score.1
RESULTS: No complications were noted and no recurrences were seen. At the last follow up, the average Constant score achieved was 73.5 (range 60-93). The maximum is 100 points.
DISCUSSION: A search of the literature resulted in a handful of articles dealing with chronic posterior dislocation of the shoulder. All of these were with very few patients and some of the articles presented results with more than one procedure. In our case series, the McLaughlin procedure proved to be useful in achieving a painless, stable shoulder with reasonable function.
CONCLUSION: The McLaughlin procedure is a reliable operation and produces satisfactory results for chronic locked posterior dislocation of the shoulder.
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Dr R Bhaga
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Cell: 072 2425 644; Home: 011 852 2818; Fax: 011 352 7133
The content of this article is the sole work of the authors. No benefits ofany form have been derived from any commercial party related directly or indirectly to the subject of this article.
*This article was awarded 2nd prize in the GT du Toit Registrars' Competition.