Aus der Abteilung für Unfallchirurgie Chirurgische Klinik mit ...
Aus der Abteilung für Unfallchirurgie Chirurgische Klinik mit ...
Aus der Abteilung für Unfallchirurgie Chirurgische Klinik mit ...
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Results and Observations<br />
4<br />
Both groups reached good to excellent results. There was no significant<br />
difference between the two groups regarding any of the measured parameters.<br />
The earlier mobilized patients reached on average 10 of “Yes” answers in the<br />
SST, 89 points in the Constant score and 84 points in the Rowe score. The<br />
average deficit of external rotation in 0°- abduction was 11° and 5° in 90°abduction<br />
in comparison to the contralateral shoul<strong>der</strong>. The group of later<br />
mobilized patients reached on average 11,2 “Yes” answers in the SST, 93<br />
points in the Constant score and was 91 points in the Rowe score. The average<br />
deficit of external rotation in 0°-abduction was 8° and 3° in 90°-abduction in<br />
comparison to contralateral shoul<strong>der</strong>. Recurrence of dislocation was not<br />
reported in either group at the time of re-examination. A positive apprehension<br />
sign was seen on 120° abduction in 2 earlier mobilised patients. One patient<br />
succumbed to a fall on the operated shoul<strong>der</strong>, so that a secondary dislocation of<br />
the repaired glenoid rim could not be excluded. Another patient reported a<br />
persistent feeling of unstableness while performing judo. A comparison with the<br />
contralateral shoul<strong>der</strong> and the clinical findings of its laxicity argue against an<br />
operative induced cause.<br />
Conclusion<br />
Because of the small group-sizes and nearly identical results, only tendencies<br />
can be observed. The success of surgical stabilization is definitely affected by<br />
postoperative rehabilitation. Good compliance and a patient who has been well<br />
informed by their surgeon prior to and after surgery, appear to be the decisive<br />
factors. Self-motivated, continued rehabilitation, active patient-cooperation and<br />
avoidance of movements which compromise stability during convalescence<br />
make the time at which mobilization begins appear secondary and<br />
independently lead to good long term results .