Artificial semi-shoulder joint replacement for humerus proximal fractures
- VernacularTitle:人工半肩关节置换治疗高龄肱骨近端粉碎性骨折的临床研究
- Author:
Baoguo JIANG
;
Dianying ZHANG
;
Zhongguo FU
- Publication Type:Journal Article
- Keywords:
Humeral fractures;
Arthroplasty,replacement;
Joint prosthesis;
Fractures,comminuted
- From:
Chinese Journal of Orthopaedic Trauma
2008;10(10):905-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of artificial semi-shoulder joint replacement for humerus proximal fractures in the aged patients. Methods From January 2004 to February 2007, 42 elderly patients who had been diagnosed as three or four-part fractures of proximal humerus received humeral head replacement. The rotor cuffs were repaired during operation, and the lesser tuberosity and greater tuberosity were reconstructed. Early functional exercise was carried out according to the Neer rehabilitation principles. Results All the patients were followed up for 10 to 28 (mean, 12.7) months postopera-tively. Their shoulder functions were assessed by the ASES (American Shoulder and Elbow Surgeon) score. Obvious pain relief was observed. Eleven cases were excellent, 24 good, 4 fair and 3 poor. The good-to-excellent rate was 83.3%. No prosthetic loosening was noted in this group, but upward shift of the shoulder prosthesis occurred in 3 cases, slight limitation of upward movement in 1 case and absorption of lesser or greater tuberosity in 4 cases. Conclusion Artificial semi-shoulder replacement can be applied for three or four-part fractures of proximal humerus in the aged patients.
