Abstract
Introduction: The Spaso technique for reduction of glenohumeral dislocation (GHD) has been recently introduced. It is considered to be a simple and successful method. However there are very few series. This study assesses the results obtained after the introduction of this technique in the Emergency Department.
Materials and methods: A prospective observational study was carried out in the Emergency Department in the Hospital Clínic of Barcelona from 15 January to 25 of March 2007, when the Spaso technique began to be used. There were 27 glenohumeral dislocations reported in 26 patients. Two cases that had more than one day’s evolution were excluded. The mean age of the patients was 51 years (range 22–80); and there were 14 men and 10 women. In most cases (18 of the 25) analgesic-sedative treatment was administered previously. Success or failure of reduction was recorded as well as all associated complications.
Results: The technique was effective in 19 of the 25 cases (76% rate of success). In relapses of gleno humeral dislocation, reduction was achieved in 8 out of 9 cases. The success rate was similar for residents and specialists. No complications were seen.
Conclusions: The results achieved allow us to consider the Spaso technique as the safest and most effective method for reduction of anterior glenohumeral dislocation, with success rates similar to those previously described. We consider that it is simple to learn and that it is one more technique to add to the resources available to the trauma specialist in the Emergency Department.
The abstracts were prepared by E. Carlos Rodríguez-Merchán, Editor-in-Chief of the Spanish Journal of Orthopaedic Surgery and Traumatology (Revista de Ortopedia y Traumatología). Correspondence should be addressed to him at: Sociedad Española de Cirugía Ortopédica y Traumatología, calle Fernández de los Ríos 108, 28015-Madrid, Spain
