[1]张军 郭梁 史晓林△.半肩关节置换术治疗老年骨质疏松性肱骨近端复杂骨折28例[J].中国中医骨伤科杂志,2018,26(08):66-68.
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半肩关节置换术治疗老年骨质疏松性肱骨近端复杂骨折28例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年08期
页码:
66-68
栏目:
临床报道
出版日期:
2018-08-02

文章信息/Info

文章编号:
1005-0205(2018)08-0066-03
作者:
张军1 郭梁1 史晓林2△
1浙江绍兴市柯桥区中医医院(浙江 绍兴,312030) 2浙江中医院大学附属第二医院
关键词:
肱骨骨折 关节成形术置换 人工关节 骨质疏松症
分类号:
R683.41
文献标志码:
B
摘要:
目的:探讨半肩关节置换治疗老年骨质疏松性肱骨近端复杂骨折的疗效。方法:2014年12月至2017年4月,对28例老年骨质疏松性肱骨近端Neer三、四部分骨折患者行半肩关节置换术,术中对假体安装、肱骨结节解剖位置可靠固定,术后实施肩关节康复功能锻炼及抗骨质疏松治疗。结果:本组患者随访11~26个月,平均20.6个月。26例无疼痛,2例轻微疼痛。大结节吸收1例,关节囊内异位骨化1例,肩关节功能明显受限1例。未出现感染、肩关节不稳定、假体周围骨折等。肩关节平均外展95°,前屈105°,外旋40°,内旋约至第二腰椎水平。根据Neer评分标准评定,优14例,良9例,可4例,差1例,优良率为82%.结论:半肩关节置换是治疗老年骨质疏松性肱骨近端复杂骨折较理想的方法,术中仔细操作、术后规范功能锻炼及抗骨质疏松治疗是不可忽视的重要因素。

参考文献/References:

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通信作者 E-mail:E-mail:xlshi-2002@163.com
更新日期/Last Update: 2018-08-02