CAJ | 학술논문

目的观察半肩关节置换术在治疗老年肱骨近端粉碎性骨折中的疗效。方法对我院于2012年12月~2014年1月共12例老年肱骨近端粉碎性骨折患者采用半肩关节置换手术。结果本组所有病例术后均获随访，分别获随访2~15个月，平均8.5个月，所有病例无感染及内植物松动的发生，根据Neer肩关节功能评分系统进行疗效评估并随访其功能，优：8例，良：2例，可：2例，优良率达83.3%，疗效满意。结论应用半肩关节置换术治疗老年肱骨近端粉碎性骨折，术后可早期进行功能锻炼，能明显改善肩关节功能。
목적관찰반견관절치환술재치료노년굉골근단분쇄성골절중적료효。방법대아원우2012년12월~2014년1월공12례노년굉골근단분쇄성골절환자채용반견관절치환수술。결과본조소유병례술후균획수방，분별획수방2~15개월，평균8.5개월，소유병례무감염급내식물송동적발생，근거Neer견관절공능평분계통진행료효평고병수방기공능，우：8례，량：2례，가：2례，우량솔체83.3%，료효만의。결론응용반견관절치환술치료노년굉골근단분쇄성골절，술후가조기진행공능단련，능명현개선견관절공능。
Objective To observe the ef ect of proximal humerus fractures in ederly patients with semi-shoulder arthroplasty. Methods From december 2012 to january 2014,12 patients with proximal humerus comminuted fractures were treated with semi-shoulder arthroplasty. Results Al patients were treated ef ectively in the durations of fol ow-up ranged from 2 months to 15 months (average of 8.5months).According to neer rating system,good were found in 83.3%.The results are satisfied. Conclusion The surgery treatment of semi-shoulder arthroplasty in elderly patients had the advantage of early functional training and was proved to be an ef ective method in treatment of elderly proximal humerus comminuted fractures.