Effect of Using the Modified Milch Technique on Quality of Life in Patients with Anterior Dislocation of the Shoulder Joint

Objective . To evaluate the effect of the Milch technique on quality of life (QoL) in patients with anterior dislocation of the shoulder joint. Methods . A total of 126 patients undergoing manual reduction for anterior dislocation of the shoulder in our hospital from January 2021 to January 2022 were prospectively enrolled in this study. The randomized number table method was used to divide patients into the study group (63 patients) and the control group (63 patients). The study group was treated with a modified Milch technique while the control group was treated with the Hippocratic method. Success rate and complications were compared to evaluate the effectiveness of manual reduction. Clinical assessment of shoulder function included the Constant-Murley Score and visual analog scale (VAS) before, during and after manual reduction. Results . The success rate of primary and secondary reduction in the study group was significantly higher than in the control group (87.30% vs 61.90, respectively; P =.001; 11.11% vs 25.40%, respectively; P =.038). The failure rate in the study group was significantly lower than in the control group (1.59% vs 12.70%, respectively; P =.015). The time required for reduction in the study and control groups was 58.87 +/- 7.92 seconds and 93.09 +/- 8.01 seconds, respectively; a significant difference (t = -24.113; P <.001). There was no statistically significant difference in VAS scores before and during reduction in the 2 groups. After reduction, VAS scores in the study group were significantly lower than in the control group (1.02 +/- 0.01 vs 1.14 +/- 0.26, respectively; P <.001). There were no significant differences in pain level, activities of daily living, joint range of motion or muscle strength between the 2 groups before and after reduction (P >.05). After reduction, health status, emotional function, mental health, physiological function, physiological function, physical pain, vitality and social function scores in the study group were significantly higher than in the control group (P <.05). There were 4 avulsion fractures and 2 humeral fractures in the control group; no complications occurred in the study group, with a significant difference (chi(2) = 6.289; P =.012). Conclusion . The Milch technique can improve the QoL in patients with anterior dislocation of the shoulder, and the success rate of the reduction is high.