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Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e3182694e5a
Techniques

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

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

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Abstract

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.

© 2012 Lippincott Williams & Wilkins, Inc.

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