临床骨科杂志Issue(4)：405-407,408,4.DOI:10.3969/j.issn.1008-0287.2014.04.018
人工肱骨头置换治疗肱骨近端四部分骨折
Hemiarthroplasty in the treatment of four part proximal humeral fractures
吕波 1王跃 1陈安刚 1李平1
作者信息
- 1. 四川省医学科学院，四川省人民医院骨科，四川 成都610072
- 折叠
摘要
Abstract
Objective To explore the effect of hemiarthroplasty in the treatment of four-part proximal humeral frac-tures. Methods 46 patients with four-part proximal humeral fractures were treated by shoulder hemiarthroplasty. Postoperative bandage immobilization was used for 3~6 (4. 2 ± 1. 5) weeks. Results The hospital stay was 5~16 (9.6±2.7)days. Thepatientswerefollowedupfor12~27(15±3.6)months.Atthelastfollow-uptime,there-sults were excellent in 14 cases, good in 28, fair in 3, and poor in 1, and the excellent and good rate was 91. 3%. During the follow-up period, there were no blood vessel and nerve injury, postoperative infection, dislocation, loose-ning and other complications. Conclusions Shoulder hemiarthroplasty is an efficient treatment for complex proximal humeral factures. It can release pain, restore shoulder function and significantly shorten the recovery time. The suc-cess depends on the correct selection of patients and prosthesis, the reconstruction of greater tuberosity, the inclina-tion angle,the reconstruction of rotator cuff,careful operation and perfect function exercise.关键词
人工肱骨头置换/肱骨近端四部分骨折Key words
hemiarthroplasty/four-part proximal humeral fractures分类
医药卫生引用本文复制引用
吕波,王跃,陈安刚,李平..人工肱骨头置换治疗肱骨近端四部分骨折[J].临床骨科杂志,2014,(4):405-407,408,4.
