Table 4.
Acute |
Chronic |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n | RHL (%) Mean ± SD |
Constant score Mean ± SD |
Min-max. CMS | Follow-up (months) | n | TFIS (week) | RHL (%) Mean ± SD |
Constant score Mean ± SD |
Min-max. CMS | Follow-up (months) | p-values | |
Arthroplasty (TSA/HA) | 8 | 50 ± 8.16 | 59 ± 11.14 | 49-71 | 25.87 ± 24.99 | 17 | 65.59 ± 89.8 | 49.5 ± 5.5 | 60.61 ± 10.20 | 42-82 | 27.36 ± 14.49 | 0.885 |
Allograft/autograft fixation | 10 | 37.5 ± 10.87 | 86.78 ± 3.60 | 83-95 | 48.2 ± 29.33 | 4 | 12.75 ± 8.62 | 40 ± 8.16 | 89.67 ± 3.51 | 86-93 | 35 ± 24.08 | 0.160 |
McLaughlin/modified McLaughlin procedure | 5 | 29.4 ± 3.58 | 99.33 ± 1.15* | 98-100 | 65.4 ± 26.84 | 28 | 15.61 ± 15.27 | 34.83 ± 5.42 | 78.40 ± 10.71 | 60-86 | 23.57 ± 10.92 | 0.023* |
Modified McLaughlin procedure + graft fixation | 0 | 7 | 8.43 ± 6 | 39.29 ± 6.73 | 83.5 ± 5.36 | 77-90 | 22.43 ± 4.96 | |||||
Balloon expansion + PMMA injection | 1 | NR | 84.5 | 84.5 | 24 | 2 | 3 | 30 | 79 ± 1.41 | 78-80 | 22 | |
Glenoid augmentation + graft | 0 | 8 | 21.37 ± 9.91 | 39.25 ± 11.27 | 77.5 ± 18.08 | 55-98 | 43 ± 8.7 | |||||
Rotational osteotomy | 0 | 9 | 21.56 ± 17.98 | 30.56 ± 7.26 | 71.67 ± 18.87 | 40-90 | 21.67 ± 6.95 | |||||
Frozen spherical-shaped allograft | 1 | 35 | † | 12 | 25 | 14.32 ± 9.08 | 40.8 ± 8.12 | 79.52 ± 18.90 | 40-100 | 81.72 ± 33.43 | ||
Combined procedures | 3 | NR | 90.33 ± 6.35 | 83-94 | 24 | 1 | 12 | 30 | 69 | 69 | 36 | |
Closed reduction (with or without pin fixation) | 19 | 24.83 ± 4 | 85 ± 15.11 | 58-100 | 38.63 ± 27.67 | 2 | 6 ± 2.83 | 20 | 100 | 100 | 48 | |
Anatomic reconstruction with plate or K-wire fixation | 67 | NR | 82.6 ± 11.24 | 16-100 | 28.79 ± 15.26 | 1 | 8 | 75% | NR | 24 | ||
Bioabsorbable screw reconstruction | 2 | 45 | 92.5 ± 3.54 | 90-95 | 26 | 0 | ||||||
Open reduction | 8 | NR | † | 57.5 ± 33.18 | 0 | |||||||
Total | 124 | 104 |
there is a significant difference between groups (p < 0.05)
improper result or outcome
TSA, total shoulder arthroplasty; HA, hemiarthroplasty; RHL, reverse Hill-Sachs lesion; SD, standard deviation; PMMA, polymethyl methacrylate; K, Kirschner; CMS, Constant-Murray score; TFIS, time from injury to surgery; NR, not reported