摘要
目的探讨人工肱骨头置换治疗老年肱骨近端骨折术后早期功能康复锻炼的效果。方法人工肱骨头置换术治疗老年肱骨近端骨折患者21例。术前、术后进行康复指导及系统的早期功能锻炼,定期随访确定疗效。结果患者术后平均随访14.6个月,均无感染、神经损伤和假体周围骨折及假体松动、脱位等并发症。按照SSMH综合评分标准平均为24.5分,27分以上(优)3例,24～27分(良)14例,优良率为86%。疼痛评分为9.3分,功能评分为8.6分,肌力和运动评分为8.2分。结论老年肱骨近端骨折人工肱骨头置换术后早期功能康复锻炼,有助于关节功能的恢复,是防止术后并发症、减轻创伤后肩关节疼痛的有效方法。
Objective To investigate the effect of semiarthroplasty and early rehabilitation for senile proximal humeral fracture. Methods 21 cases of senile proximal humeral fractures were treated with semiarthroplasty and early rehabilitation and were followed up periodically. Results All cases were followed up for 14.6 months. No infection, neural injury, prosthesis adjacent fracture, prosthesis looseness or dislocation was found. According to SSMH comprehensive scoring system, the average scores were 24.5. The results were excellent (over 27 scores) in 3 cases and good (24~27) in 14, and the excellent and good rate was 86%. 21 cases got 9.3 scores in pain scoring, 8.6 in function scoring, and 8.2 in myodynamia and motion scoring. Conclusions Semiarthroplasty and early rehabilitation is beneficial for function recovery to treat senile proximal humeral fracture, which is an effective way to prevent postoperative complication and reduce the posttraumatic shoulder pain.
出处
《临床骨科杂志》
2005年第3期261-263,共3页
Journal of Clinical Orthopaedics
关键词
肱骨骨折
人工关节
康复
humeral fractures
joint prosthesis
rehabilitation
