Four cases of shoulder fusion, three for residual poliomyelitis and one for brachial plexus injury, were carried out at the Department of Orthopedic Surgery from August 1968 to February 1970.
Preoperatively, well molded shoulder spica was applied in...
Four cases of shoulder fusion, three for residual poliomyelitis and one for brachial plexus injury, were carried out at the Department of Orthopedic Surgery from August 1968 to February 1970.
Preoperatively, well molded shoulder spica was applied in the functional position of the shoulder and a big window was prepared at the lateral aspect of the spica, through which surgery was carried out with a small longitudinal skin incision.
Two lag screws were used to obtain rigid fixation of the joint, the one screw was inserted to glenohumeral joint and another was fixed from the acromion to the humeral head. The acromion was not fractured in this method to maintain the round contour of the shoulder.
In all four cases, solid fusion was obtained in the radiological and clinical examination in average of 11 weeks and the funtional results were excellent in 3 cases and good in one case.