小切口组配式人工肱骨头置换治疗高龄患者肱骨近端三、四部分骨折

Small incision modular artificial humeral head replacement for the treatment of elderly complex of proximal humeral fractures

目的探讨肩关节前小切口组配式人工肱骨头置换治疗高龄患者肱骨近端骨折的临床疗效。方法选择2013年—2015年我科收治的肱骨近端骨折高龄患者17例作为研究对象,采用小切口组配式人工肱骨头置换治疗高龄患者肱骨近端三、四部分骨折。其中三部分骨折6例,四部分骨折15例,合并脱位3例(均为前脱位)。结果 17例患者均获得12~24个月随访,以UCLA肩关节置换评分系统进行评分,其中优6例,良9例,可2例,差0例,优良达88.2%。结论小切口组配式人工肱骨头置换治疗高龄患者肱骨近端三、四部分骨折,创伤小、恢复快、是治疗该类骨折很好的选择。

Objective To investigate curative effect of anterior shoulder small incision modular artificial humeral head replacement on treatment of elderly complex of proximal humeral fractures.Methods 17 senile patients suffered proximal humeral comminuted fractures were enrolled this study.They were treated by small incision modular artificial humeral head replacement.Among them,3-part fractures in 6 cases,4-part fractures in 15 cases,with 3 cases of anterior dislocation of shoulder.Results 17 cases were followed up for 12 ~ 24 months.Shoulder joint evaluated by UCLA scoring system obtained better results,among them,6 cases were excellent,9 good,2 fair,and 0 poor,the excellent and good rate was 88.2%.Conclusions Small incision modular artificial humeral head replacement treatment of elderly patients with 3-and 4-part proximal humeral fractures had little trauma,rapid recovery,it is a good choice for the treatment of such fractures.