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KMID : 0361619720070040489
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 4 p.489 ~ p.494
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Reconstruction of the Paralysed Shoulder by the Saha´s Method
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黃正秀/Hwang, Chung-Soo
李光鎭/李德鏞/Lee, Kwang, Jin/Lee, Duk-Yong
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Abstract
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Treatment of a paralysed or flail shoulder falls into two categories; arthrodesis and reconstructive surgery. Of these the latter is preferable in view of mobility.
Most authors have tried to reconstruct the paralysed abductor by transferring the trapezius muscle only. The final results of these procedures were poor in severe paralysis of the deltoid muscle or combined paralysis of the deltoid and the rotator cuff muscles.
Nothing the importance of the action of the rotator cuff muscles in abduction of the shoulder, Saha, in 1967, recommended simultaneous reconstruction of the paralysed deltoid and rotator cuff
muscles.
We treated a case of paralysed shoulder that followed poliomyelitis by the Saha method, i.e., transfer of the trapezius muscle for the paralysed deltoid, transfer of the levator scapulae muscle for the supraspinatus, transfer of the pectoralis minor muscle for the subscapularis, all in one stage.
Duration of the follow up was 3 months and the initial result seemed to be good in view of stability, mobility, and abductor power.
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