Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers
Acta ortop. bras
;
23(4): 192-196, Jul-Aug/2015. tab, fig
Article
in English
| LILACS
| ID: lil-754988
ABSTRACT
OBJECTIVE:
To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct.METHODS:
A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared.RESULTS:
There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients.CONCLUSIONS:
Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Shoulder Dislocation
/
Shoulder Joint
/
Prospective Studies
/
Manipulation, Orthopedic
Type of study:
Controlled clinical trial
/
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2015
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital de Base/BR
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