Rezende Bruno da Rocha Moreira, de Almeida José Inácio, de Sousa Uriel Jaime, Bomfim Leônidas de Souza, Ferreira Mário Soares
Hospital de Base do Distrito Federal, Brasilia, DF, Brazil.
Acta Ortop Bras. 2015 Jul-Aug;23(4):192-6. doi: 10.1590/1413-78522015230400701.
To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct.
A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared.
There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients.
Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic.
除了促进两种手法复位之间的比较以指导急诊处理外，评估并比较Spaso手法和Kocher手法复位在效率、复位时间、简易程度、疼痛、患者不适、并发症及风险方面的情况。
2011年2月至2012年9月对105例急性肩关节脱位患者进行一项前瞻性研究。患者被随机分为两组，由我院一、二、三年级骨科住院医师分别采用Spaso手法（A组）或Kocher技术（B组）进行脱位复位。对结果进行评估和比较。
两组在年龄、性别、复位时间、既往发作次数及复位后并发症方面无统计学显著差异。然而，使用Spaso方法实现复位的病例比Kocher组更多，且A组患者复位手法的平均持续时间和不适程度更短。
两种方法在脱位复位方面均取得了良好效果，并发症发生率低。然而，与Kocher方法相比，Spaso手法更有效、快速且易于应用。证据等级I，治疗性。
