| 人工肱骨头置换治疗肱骨近端4部分骨折及骨折脱位 |
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Received:September 25, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 沈是铭 |
SHEN Shi-ming |
宁波镇海医疗中心龙赛医院骨科，浙江 宁波 315200 |
Department of Orthopaedics,Zhenhai Medical Center,Longsai Hospital of Ningbo,Ningbo 315200,Zhejiang,China |
shiming88@nbip.net |
| 毛宾尧 |
MAO Bin-yao |
宁波大学附属宁波第一医院骨科 |
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| 王毳 |
WANG Cui |
宁波大学附属宁波第一医院骨科 |
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| 黄涛 |
HUANG Tao |
宁波大学附属宁波第一医院骨科 |
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| 贾学文 |
JIA Xue-wen |
宁波大学附属宁波第一医院骨科 |
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| 高林山 |
GAO Lin-shan |
宁波镇海医疗中心龙赛医院骨科，浙江 宁波 315200 |
Department of Orthopaedics,Zhenhai Medical Center,Longsai Hospital of Ningbo,Ningbo 315200,Zhejiang,China |
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| 陈永坚 |
CHEN Yong-jian |
宁波镇海医疗中心龙赛医院骨科，浙江 宁波 315200 |
Department of Orthopaedics,Zhenhai Medical Center,Longsai Hospital of Ningbo,Ningbo 315200,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第5期，第387-389页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨应用人工肱骨头置换治疗肱骨近端4部分骨折及骨折脱位的近期疗效。
方法：25例肱骨近端4部分骨折及骨折脱位的患者，男11例，女14例；年龄56～77岁，平均68.2岁；均行人工肱骨头置换治疗。应用Neer疗效评分系统，根据患者疼痛、功能、肩关节活动范围评价术后疗效。
结果：术后随访12～40个月，平均29.3个月。所有病例术后均无感染、神经损伤、假体周围骨折、假体松动、脱位等并发症。Neer评分优8例，良11例，可6例，优良率76%.
结论：通过标准的手术操作及术后积极合理的康复锻炼，人工肱骨头置换治疗肱骨近端4部分骨折及骨折脱位近期疗效满意。 |
| [关键词]:肱骨骨折 肩脱位 关节成形术，置换 |
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| Replacement of humeral head prosthesis for four-part proximal humeral fractures or fracture-dislocations |
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Abstract:
Objective: To evaluate the short-term results of humeral head replacement for the treatment of four-part proximal humeral fractures or fracture-dislocations.
Methods: Twenty-five patients(11 male and 14 female)with four-part proximal humeral fractures or fracture-dislocations underwent humeral head replacement. The average age was 68.2 years (ranging from 56 to 77 years). All cases were followed up and evaluated the clinical results including pain,function and range of motion of shoulder with Neer scoring system.
Results: The follow-up ranged from 12 to 40 months with an average time of 29.3 months. No prosthesis loosening,prosthesis dislocation,postoperative infection,nerve injury or periprosthesis fractures occurred. The results were excellent in 8 cases,good in 11 cases and fair in 6 cases. The excellent and good rate was 76% according to Neer scoring system.
Conclusion: Replacement of humeral head prosthesis could attain good short-term results for four-part proximal humeral fractures or fracture-dislocations. The key to improve the postoperative results is meticulous surgical techniques and appropriate correct consecutive physical therapy. |
| KEYWORDS:Humeral fractures Shoulder dislocation Arthroplasty,replacement |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 沈是铭,毛宾尧,王毳,黄涛,贾学文,高林山,陈永坚.人工肱骨头置换治疗肱骨近端4部分骨折及骨折脱位[J].中国骨伤,2008,21(5):387~389 |
| 英文格式: | SHEN Shi-ming,MAO Bin-yao,WANG Cui,HUANG Tao,JIA Xue-wen,GAO Lin-shan,CHEN Yong-jian.Replacement of humeral head prosthesis for four-part proximal humeral fractures or fracture-dislocations[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(5):387~389 |
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