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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (05) : 687 -691. doi: 10.3877/cma.j.issn.1674-134X.2018.05.016

所属专题: 文献

综述

半肩置换治疗肱骨近端粉碎性骨折的研究进展
王均1, 段浩1, 何飞1,()   
  1. 1. 650032 昆明医科大学第一附属医院老年骨科
  • 收稿日期:2016-11-22 出版日期:2018-10-01
  • 通信作者: 何飞
  • 基金资助:
    国家自然科学基金(31460244)

Research progress of hemi-shoulder replacement in treatment of proximal humeral fracture

Jun Wang1, Hao Duan1, Fei He1,()   

  1. 1. Department of Orthopaedics, The First Affiliated Hospital of Kunming Medical University, Kuming 650032, China
  • Received:2016-11-22 Published:2018-10-01
  • Corresponding author: Fei He
  • About author:
    Corresponding anthor: He Fei, Email:
引用本文:

王均, 段浩, 何飞. 半肩置换治疗肱骨近端粉碎性骨折的研究进展[J]. 中华关节外科杂志(电子版), 2018, 12(05): 687-691.

Jun Wang, Hao Duan, Fei He. Research progress of hemi-shoulder replacement in treatment of proximal humeral fracture[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(05): 687-691.

肱骨近端骨折多见于中老年骨质疏松患者,其多采用半肩置换术进行治疗。如果骨折造成肱骨近端的骨性标志破坏、术中假体的高度及后旋角度难以确定、以及术后大小结节未达到解剖复位及骨性愈合等可影响肩关节置换术后的疗效。因此,对于肱骨近端骨折的治疗,需熟练掌握肩关节的解剖关系、力学机制、肩关节特殊的重建技术,并制订周密的术前规划才可以降低并发症的发生率。现就近几年来肩关节置换术治疗肱骨近端骨折的情况予以综述。

Proximal humeral fractures most frequently occur to middle and o1d-age patients, and the major treatment is hemi-shoulder joint replacement. However, therapeutic effects and prognosis after shoulder joint replacement can be influenced by bony landmarks damage, the uncertainty of placement height and back rotation angle of prosthesis, greater and lesser tubercles not meeting the requirements of anatomical reduction and so on. Therefore, in order to treat the proximal humeral fractures and reduce the occurrence rate of postoperative complications, doctors need to be familiar with the anatomic relationships between shoulder joints, the mechanical mechanism and the special reconstruction techniques of the shoulder joint and make meticulous operation plans. This review was about the situations of treating the proximal humeral fractures through shoulder joint replacement in recent years.

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