| ABSTRACT Abstract Purpose This study aimed to present outcomes of modified Mclaughlin procedure combined with locking plate for reverse Hill-Sachs lesion(involved area <40%) in posterior shoulder dislocation with proximal humeral fracture. Method With a diagnosis of reverse Hill-Sachs lesion in posterior shoulder dislocation with proximal humeral fracture,7 patients(5 male,2 female,age range:37~53 years,mean age:43.9±6.4 years) were included from July 2012 to June 2017 from 2 medical institutions.They were managed by modified Mclaughlin procedure combined with locking plate fixation,and evaluated with range of motion of shoulder,University of California-Los Angeles Shoulder Scale(UCLA Scale),and radiology at 4 weeks,12 weeks,1 year and consequential years postoperatively.Result No patient was lost in follow-up. The mean follow-up period was 20.0±8.4 months(range 10~33 months).The mean flexion,external rotation,and abduction were 151.4±9.0°,57.1±9.0°,and 134.3±13.0°respectively,and the internal rotation was between L3 to buttock. The mean UCLA Scale was 31.0±1.9.According to which,there was 1 patient rated excellent,and 6 patients rated good.Conclusion The modified Mclaughlin procedure combined with locking plate showed satisfying result for posterior shoulder dislocation combined with fractures.However,the internal rotation of shoulder could be compromised. |
