Treatment of comminuted proximal humeral fractures with shoulder hemiarthroplasty
- VernacularTitle:人工半肩关节置换治疗肱骨近端粉碎骨折
- Author:
Zhenjun YAO
;
Chi ZHANG
;
Zhengrong CHEN
- Publication Type:Journal Article
- Keywords:
Shoulder factures;
Shoulder joint;
Arthroplasty, replacement
- From:
Chinese Journal of Trauma
1990;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical results of shoulder hemiarthroplasty in treating comminuted proximal humeral fractures. Methods Shoulder hemiarthroplasty was performed from May 1997 to June 2004 in 28 cases with comminuted proximal humeral fractures who were followed up for mean 2.1 years. American Shoulder & Elbow Surgeon (ASES) score was adopted for evaluating pain after operation, range of active movement and function of daily work. Results Mean ASES score was 87.9(67-96 scores), with mean forward flexion of 132?, external rotation of 40?, mean VAS score of 2.6 and internal rotation at T_ 10 level. Strength and function of 23 cases reached 80% of the normal side six months postoperatively and 90% of the normal side one year postoperatively. Of all cases, 82% were satisfied with the treatment. Conclusion Only reconstruction of normal humeral length, tuberosity fixation and persevering rehabilitation can contribute to a successful result of hemiarthroplasty for the comminuted proximal humeral fractures.
