摘要
Abstract
Objective To explore the elderly proximal humerus 3,4 part fractures of the humeral head arthroplasty indications, techniques and postoperative rehabilitation to restore shoulder function. Methods 15 elderly cases of proximal humeral 3,4 parts fracture patients were performed humeral head replacement. Preoperative measuring health side of the greater tuberosity low to the top of the head of the humerus distance, intraoperative reset size nodules, as far as possible the reasonable control of the false body height and sloping, try to repair the damage rotator cuff, three phase planned postoperative rehabilitation treatment. Results 15 cases have been followed up, followed up for 9 ～77 months. 11 cases were completely not painful, 2 cases of joint line after a tenderness, and 1 case lift on shoulder movement, and 1 case with mild pain shoulder instability Neer score standard display, excellent in 7 patients, good in 6, and poor in 2. Conclusions For the old proximal humeral fractures serious 3 ,4 parts, especially the head shattered fracture patients, the humeral head replacement is expected to get a good curative effect of treatment. In familiar anatomical and shoulder function based on the characteristics of the operation indication, strictly grasp, follow the head of the humerus replacement process the key technology of method, should as far as possible reserves during the greater tuberosity and soft tissue belongs to, close to anatomical reattachment, repair rotator cuff injury. With planned postoperative rehabilitation training, quickly shoulder activities can be restored.关键词
人工肱骨头置换/肱骨近端四部分骨折/老年人Key words
humeral head artificially replacement/ proximal humeral fractures four parts/ aged分类
医药卫生
