Aus der Abteilung für Unfallchirurgie Chirurgische Klinik mit ...

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