摘要
目的探讨半肩关节置换治疗肱骨近端复杂性骨折的手术适应证、手术要点以及假体的选择.方法选择8例肱骨近端复杂性骨折行半肩关节置换治疗的患者,平均年龄为50.4岁,应用改良的半关节成形术评分系统(SSMH)评价治疗效果.结果平均随访13.4个月,7例无疼痛,1例轻微疼痛;肩关节平均外展100°(90°～110°),前屈95°(80°～100°),外旋35°(30°～40°),内旋65°(60°～70°).SSMH评分平均为26.9分(24～29分).7例患者对治疗效果表示满意.结论半肩关节置换是一种治疗肱骨近端复杂性骨折的有效方法,成功与否取决于患者和假体的正确选择、精细的手术操作和完善的功能锻炼.
Objective To appraise the indications, essential technical points and selection of prostheses of complicated proximal humeral fractures with hemiarthroplasty of the shoulder. Methods Hemiarthroplasty of shoulder was performed to treat complicated proximal humeral fracture in 8 patients, with a mean patient age of 50.4 years. The modified scoring system for hemiarthroplasty （SSMH） was employed to evaluate the therapeutic outcomes. Results A mean follow-up of 13.4 months revealed obvious relief of pain with absence of pain in 7 and mild in 1; improved motion range of the shoulder with a mean abduction of 100°（90°-110°）, flexion of 95°（80°-100°）, external rotation of 35° （30°-40°and internal rotation of 65° （60°-70°）. The average SSMH score was 26.9 （24-29） and satisfactory results occurred in seven patients （87. 5％）. Conclusion Hemiarthroplasty of shoulder is effective for complicated proximal humeral fractures. The key of success is related with the appropriate selection of prostheses and patients, precise operative technique and perfect rehabilitation. （Shanghai Med J,2005, 28：555-557）.
出处
《上海医学》
CAS
CSCD
北大核心
2005年第7期555-557,F0005,共4页
Shanghai Medical Journal
