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中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 253 -260. doi: 10.3877/cma.j.issn.1674-134X.2023.02.015

综述

骨质疏松患者肩关节置换手术的进展
孙长鲛, 余鹏, 蔡谞, 潘勇卫†()   
  1. 102218　北京，清华大学附属北京清华长庚医院骨科，清华大学临床医学院
    430070　武汉科技大学医院骨科
  • 收稿日期:2021-04-12 出版日期:2023-04-01
  • 通信作者: 潘勇卫

Progress of shoulder arthroplasty in patients with osteoporosis

Changjiao Sun, Peng Yu, Xu Cai, Yongwei Pan†()   

  1. Beijing Tsinghua ChanggungHospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
    Department of Orthopedic, Wuhan University of Science and Technology Hospital, Wuhan 430070, China
  • Received:2021-04-12 Published:2023-04-01
  • Corresponding author: Yongwei Pan
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孙长鲛, 余鹏, 蔡谞, 潘勇卫. 骨质疏松患者肩关节置换手术的进展[J/OL]. 中华关节外科杂志(电子版), 2023, 17(02): 253-260.

Changjiao Sun, Peng Yu, Xu Cai, Yongwei Pan. Progress of shoulder arthroplasty in patients with osteoporosis[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 253-260.

随着我国老龄化人群和骨质疏松患者的增多，肩关节退行性疾病或外伤性疾病接受肩关节置换的患者也随之增多。目前世界的趋势是肱骨头置换数量在减少，反肩关节置换数量在增多，越来越多的肱骨近端骨折老年患者接受反肩关节置换。无论是治疗骨关节炎还是骨质疏松性骨折进行肩关节置换都要充分考虑到骨质疏松的影响。本文系统阐述了目前骨质疏松患者行肩关节置换的趋势，包括肱骨头置换，解剖型全肩关节置换，反式肩关节置换；描述了骨质疏松对肱骨解剖的影响，以及面对骨质疏松患者时，有关假体选择，固定方式和手术技术等的注意事项。

关键词: 骨质疏松, 关节成形术，置换，肩, 肩部骨折

With an increase of aging population and osteoporosis patients in China, the number of patients undergoing shoulder arthroplasty for degenerative or traumatic diseases also increases. Current trend on the world is that the number of humeral head arthroplasty is decreasing, while the number of reverse total shoulder arthroplasty (RSTA) is increasing. More and more elderly patients with proximal humeral fractures are treated with RSTA. The impact of osteoporosis must be fully considered when a shoulder arthroplasty is applied in the treatment of osteoarthritis or osteoporotic fractures. This article systematically described the current trend of shoulder arthroplasty(including humeral head arthroplasty, anatomical total shoulder arthroplasty, and RSTA)in the patients with osteoporosis. The impact of osteoporosis on the anatomy of humerus, as well as the selection of prosthesis, methods of fixation and surgical techniques for osteoporotic patients were also discussed.

Key words: Osteoporosis, Arthroplasty, replacement, shoulder, Shoulder fractures
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