The RESULTS OF PRAKASH MANEUVER IN REDUCTION OF ANTERIOR SHOULDER DISLOCATION

Abstract

Objective: To evaluate the effectiveness of Prakash’s maneuver in the reduction of anterior shoulder dislocation without sedation and anesthesia in an emergency setting.

Material and methods: A prospective study was conducted in the Orthopaedic Department Qazi Hussain Ahmad Medical Complex Nowshera department on 177 patients from 1^st January 2020 to 30^th June 2023. Shoulder dislocation presenting within 72 hours was included. Associated spine trauma, fractures, metabolic bone disease, and metastatic bone disease were excluded. The reduction was executed using Prakash’s maneuver. Failure to get a reduction in the first attempt and or the need for reduction under general anesthesia was regarded as treatment failure. Notes were made about the time to reduce pain experienced by the patient and complications like fractures and nerve injuries.

Results: Out of 177 patients 122(68.83%) were male and 55 (31.17%) were female with a mean age of (33.51 ± 11.86) years. Reduction was achieved in 160 of the 177 shoulders (90.40%). The same method reduced 9 out of the remaining on the second attempt. For the shoulder reduction, the average time was 120.73s ± 18.13 seconds. However, there was no other associated complication seen with this method.

Conclusion: This method of shoulder relocation is very safe, reliable, pain-free, easy to learn, and has easy applicability in the emergency department. Its inherent safety and easy mastery will attract orthopedic surgeons to have this method as their preferred method of reduction for anterior shoulder dislocations.