目的:回顾性研究人工肱骨头置换治疗复杂肱骨近端骨折患者的肩关节的情况,以进一步提高疗效。方法:对我院2004年至2007年27例肱骨近端骨折患者采用肱骨头置换术治疗,术中修复关节囊和肩袖,术后随访5~38月,评价其肩关节功能。结果:采用半关节成形改良评分系统SSMH综合评分,优:5例,良:17例,可:5例,优良率:815%。肩关节活动:平均前屈上举:96°,外旋:36°,内旋至L2水平。X片示假体无松动断裂,位置良好。结论:对于复杂的肱骨近端骨折,人工肱骨头置换是有效治疗手段,能够最大限度恢复期肩关节活动功能。
Citation：
YI Min,ZHONG Gang,CEN Shiqiang.. Artificial Humeral Head Replacement in the Treatment of Fractures of the Proximal Humerus. West China Medical Journal, 2009, 24(5): 1092-1093. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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KELLY JD J R, NORRIS T R. Decision making in glenohumeral arthroplasty[J]. J Arthroplasty,2003,18:7582.
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NYFFELER R W, SHEIKH R, HILAIRE AC. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction[J]. J Bone Joint Surg,2004,86(A):575580.
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KRALINGER F, SCHWAIGER R, FARRELL E, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus[J]. J Bone Joint Surg(Br),2004,86:217219.
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NEER CS 2ND, WATSON K C, STANTON F J. Recent experience in total shoulder replacement[J]. J Bone Joint Surg Am,1982,64(3):319337.
|
- 1. KAY S P, AMSTUTZ H C. Shoulder hemiathroplasty at UCLA[J]. Clin Orthop,1988,228:4248.
- 2. KRALINGER F, SCHWAIGER R, WAMBACHER M, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus[J]. J Bone Joint Surg(Br),2004,86(2):217219.
- 3. NARANJA RJ J R, IANNOTTI J P. Displaced three and fourpart proximal humerus fractures: evaluation and management[J]. J Am Acad Orthop Surg,2000,8(6):373382.
- 4. ROBINSON C M, PAGE R S, HILL R M, et al. Primary hemiarthroplasty for treatment of proximal humeral fractures[J]. J Bone Joint Surg Am,2003,85A(7):12151223.
- 5. BOILEAU P, TROJAM C, WALCH G, et al. Shoulder arthroplas ty for the treatment of the segue lae of fractures of the proximal humerus[J]. J Shoulder Elbow Surg,2001,10:299308.
- 6. ANTUUA S A, SPERLING J W, SAUCHE Z, et al. Shoulder arthroplasty for proximal humeral nonunions[J]. J Shoulder Elbow Surg,2002,11:114121.
- 7. KELLY JD J R, NORRIS T R. Decision making in glenohumeral arthroplasty[J]. J Arthroplasty,2003,18:7582.
- 8. NYFFELER R W, SHEIKH R, HILAIRE AC. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction[J]. J Bone Joint Surg,2004,86(A):575580.
- 9. 姚振均,张弛,陈峥嵘.人工半肩关节置换治疗肱骨近端粉碎骨折[J].中华创伤杂志,2006,22(3):179183.
- 10. KRALINGER F, SCHWAIGER R, FARRELL E, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus[J]. J Bone Joint Surg(Br),2004,86:217219.
- 11. NEER CS 2ND, WATSON K C, STANTON F J. Recent experience in total shoulder replacement[J]. J Bone Joint Surg Am,1982,64(3):319337.
