摘要
目的探讨人工半肩关节置换治疗高龄肱骨近端粉碎性骨折的疗效。方法2004年1月至2007年2月，对42例高龄肱骨近端Neer三、四部分骨折患者行人工半肩关节置换术，术中修复受损的肩袖，重建大、小结节，术后根据Neer康复原则进行早期功能锻炼。结果42例患者术后获10～28个月（平均12．7个月）随访，疼痛明显缓解。肩关节功能应用ASES评分系统进行评价：优11例，良24例，可4例，差3例，优良率为83．3％。42例患者均未出现假体松动，3例术后出现肩关节假体上移，1例上举轻度受限，4例出现大、小结节吸收。结论对于高龄肱骨近端Neer三、四部分骨折，可选择人工半肩关节置换。
Objective To investigate the effects of artificial semi-shoulder joint replacement for humerus proximal fractures in the aged patients. Methods From January 2004 to February 2007, 42 elderly patients who had been diagnosed as three or four-part fractures of proximal humerus received humeral head replacement. The rotor cuffs were repaired during operation, and the lesser tuberosity and greater tuberosity were reconstructed. Early functional exercise was carried out according to the Neer rehabilitation principles. Results All the patients were followed up for 10 to 28 （mean, 12.7） months postoperatively. Their shoulder functions were assessed by the ASES （American Shoulder and Elbow Surgeon） score. Obvious pain relief was observed. Eleven cases were excellent, 24 good, 4 fair and 3 poor. The good-to-excellent rate was 83.3%. No prosthetic loosening was noted in this group, but upward shift of the shoulder prosthesis occurred in 3 cases, slight limitation of upward movement in 1 case and absorption of lesser or greater tuberosity in 4 cases. Conclusion Artificial semi-shoulder replacement can be applied for three or four-part fractures of proximal humerus in the aged patients.
出处
《中华创伤骨科杂志》
CAS
CSCD
2008年第10期905-907,共3页
Chinese Journal of Orthopaedic Trauma
基金
“十一五”科技支撑计划（2007BA104B06）
关键词
肱骨骨折
关节成形术
置换
人工关节
骨折
粉碎性
Humeral fractures
Arthroplasty, replacement
Joint prosthesis
Fractures, comminuted
