人工肱骨頭置換治療復雜肱骨近端骨折_《華西醫學》

作者：

易敏 , 鐘剛 , 岑石強

四川大學華西醫院骨科,四川成都 610041;

關鍵詞：

肱骨近端骨折人工肱骨頭置換

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目的:回顧性研究人工肱骨頭置換治療復雜肱骨近端骨折患者的肩關節的情況,以進一步提高療效。方法:對我院2004年至2007年27例肱骨近端骨折患者采用肱骨頭置換術治療,術中修復關節囊和肩袖,術后隨訪5~38月,評價其肩關節功能。結果:采用半關節成形改良評分系統SSMH綜合評分,優:5例,良:17例,可:5例,優良率:815%。肩關節活動:平均前屈上舉:96°,外旋:36°,內旋至L2水平。X片示假體無松動斷裂,位置良好。結論:對于復雜的肱骨近端骨折,人工肱骨頭置換是有效治療手段,能夠最大限度恢復期肩關節活動功能。

引用本文： 易敏,鐘剛,岑石強. 人工肱骨頭置換治療復雜肱骨近端骨折. 華西醫學, 2009, 24(5): 1092-1093. doi: 復制

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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):217219.
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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,2001,10:299308.
6.	ANTUUA S A, SPERLING J W, SAUCHE Z, et al. Shoulder arthroplasty for proximal humeral nonunions[J]. J Shoulder Elbow Surg,2002,11:114121.
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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):575580.
9.	姚振均,張弛,陳崢嶸.人工半肩關節置換治療肱骨近端粉碎骨折[J].中華創傷雜志,2006,22(3):179183.
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),2004,86:217219.
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):319337.

1. KAY S P, AMSTUTZ H C. Shoulder hemiathroplasty at UCLA[J]. Clin Orthop,1988,228:4248.
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):217219.
3. NARANJA RJ J R, IANNOTTI J P. Displaced three and fourpart proximal humerus fractures: evaluation and management[J]. J Am Acad Orthop Surg,2000,8(6):373382.
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,2003,85A(7):12151223.
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,2001,10:299308.
6. ANTUUA S A, SPERLING J W, SAUCHE Z, et al. Shoulder arthroplasty for proximal humeral nonunions[J]. J Shoulder Elbow Surg,2002,11:114121.
7. KELLY JD J R, NORRIS T R. Decision making in glenohumeral arthroplasty[J]. J Arthroplasty,2003,18:7582.
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):575580.
9. 姚振均,張弛,陳崢嶸.人工半肩關節置換治療肱骨近端粉碎骨折[J].中華創傷雜志,2006,22(3):179183.
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),2004,86:217219.
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):319337.

《華西醫學》

人工肱骨頭置換治療復雜肱骨近端骨折

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《華西醫學》

人工肱骨頭置換治療復雜肱骨近端骨折

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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