Analysis Of A Safe And Fasttrack L Prakash [LPR] Method Of Reduction For Anterior Shoulder Dislocation

Many methods were described by authors for reduction of anterior shouder dislocation, which requires either traction or sedation or assistance but none of them are without iatrogenic complications. Dr L.Praksh[LPR] introduced a new method for reduction which is quick, safe, painless does not require traction or sedation or assistance and without any complications. Aims and objectives: This study aims to evaluate efficacy and safety of LPR method of reducing anterior shoulder dislocation. Materials and methods: This is a prospective study conducted in two tertiary care centres by same author and team in course of time period july 2019-june 2022. All the cases of acute anterior shoulder dislocation and with associated greater tuberosity fractures were diagnosed, necessary details recorded and reduced by LPR method. Maximum of two attempts were tried in difficult patients. No traction, No sedation, No assistance were followed during maneuver. Time taken for reduction, complications if any were recorded. Results: Among 64 patients included in study, 48[75%] were males, 16[25%] were females. The mean age was 37.5[Range 17-65] years. Associated greater tuberosity fractures seen in 8[12.5%] patients. LPR method successfully reduced shoulder dislocation in 63[98.4%] patients. Most of dislocations were reduced in first attempt but 2 [3%] cases were reduced in second attempt. Average time taken for reduction was 3-4 minutes. No complications were recorded. Conclusion: L.Prakash [LPR] method of reduction for anterior dislocation of shoulder is a fasttrack method which is safe, effective, near ideal and without complications even in associated greater tuberosity fractures