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Two-Team Simultaneous Open Surgical Treatment in Bilateral Shoulder Fracture Dislocation

Allende, Christian MD; Bustos, Damian MD; Bruno, Pablo MD; Galera, Horacio MD

Techniques in Hand & Upper Extremity Surgery: December 2012 - Volume 16 - Issue 4 - p 210–214
doi: 10.1097/BTH.0b013e3182694e5a
Techniques

Different surgical options have been described for the treatment of bilateral shoulder fracture dislocations. We report 2 cases of bilateral shoulder fracture dislocation treated simultaneously by 2 surgical teams. One case had bilateral hemiarthroplasty performed, and the second case had 1 hemiarthroplasty and McLaughlin procedure on the other shoulder. A device to allow holding the patient in a bend chair position, with both shoulders hanging outside the operative table, allowing their free movement, was designed. At 1-year follow-up, neither of the patients had complications and both are pleased with their early result. Simultaneous treatment of both the shoulders by 2 different surgical teams in bilateral shoulder fracture dislocations that need surgical treatment has the advantages of reduced overall hospitalization time, reduced anesthetic risk, faster return to work, and reduced overall cost of care. The decision for simultaneous bilateral shoulder surgery must be made in concert with the patient, medical consultant, and anesthesiologist.

Level of Evidence: Level IV—case series.

Department of Orthopaedics, Instituto Allende de Cirugía Reconstructiva de los Miembros, Universidad Católica de Córdoba, Córdoba, Argentina

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Christian Allende, MD, Hipólito Irigoyen 384, Córdoba 5000, Argentina. E-mail: christian_allende@hotmail.com.

© 2012 Lippincott Williams & Wilkins, Inc.