CAJ | 학술논문

背景：半肩或全肩关节置换治疗复杂的肱骨近端骨折，在迅速消除患者疼痛、有效恢复关节功能等方面临床疗效较好。 　　目的：分析人工半肩关节置换治疗复杂肱骨近端骨折的技术方法及临床疗效。 　　方法：对12例人工半肩关节置换治疗的复杂肱骨近端骨折患者进行疗效分析。按Neer分型：其中，三部分骨折2例，四部分骨折10例。以X射线观察、Neer评分标准对半肩关节置换后肩关节功能进行临床评估。 　　结果与结论：12例随访时间平均18个月(6-48个月)。Neer评分：优10例，良1例，可1例，优良率92%。随访期X射线显示内假体位置良好，无关节周围骨折、神经损伤、感染、脱位和松动等并发症。说明人工半肩关节置换是治疗复杂肱骨近端骨折的有效方法之一。半肩关节置换中须注意肩袖的有效修复和大、小结节的正确重建，结合置换后早期、规范的功能锻炼，可取得满意的临床效果。
배경：반견혹전견관절치환치료복잡적굉골근단골절，재신속소제환자동통、유효회복관절공능등방면림상료효교호。 　　목적：분석인공반견관절치환치료복잡굉골근단골절적기술방법급림상료효。 　　방법：대12례인공반견관절치환치료적복잡굉골근단골절환자진행료효분석。안Neer분형：기중，삼부분골절2례，사부분골절10례。이X사선관찰、Neer평분표준대반견관절치환후견관절공능진행림상평고。 　　결과여결론：12례수방시간평균18개월(6-48개월)。Neer평분：우10례，량1례，가1례，우량솔92%。수방기X사선현시내가체위치량호，무관절주위골절、신경손상、감염、탈위화송동등병발증。설명인공반견관절치환시치료복잡굉골근단골절적유효방법지일。반견관절치환중수주의견수적유효수복화대、소결절적정학중건，결합치환후조기、규범적공능단련，가취득만의적림상효과。
BACKGROUND:Semi-shoulder or total shoulder arthroplasty for complicated proximal humerus fractures is better in the rapid elimination of pain and restoration of joint function. OBJECTIVE:To analyze the surgical techniques and clinical effects of semi-shoulder arthroplasty on the treatment of complicated proximal humerus fractures. METHODS:The surgical efficacy of 12 cases of complicated proximal humerus fractures who had al received semi-shoulder arthroplasty was analyzed. According to Neer classification, there were two cases of three-part fractures and 10 cases of four-part fractures. X-ray observation and Neer scoring criteria were also used to conduct a clinical evaluation of shoulder joint function after operation. RESULTS AND CONCLUSION:Al the patients were fol owed up for 18 months in average (6 to 48 months). Based on Neer scoring, excellent was in 10 cases, good in one case, fair in one case. The excellent rate was 92%. During the fol ow-up period, prosthesis location was good and there were no complications, such as periarticular fractures, nerve injury, infection, dislocation or looseness. Attention should be paid for the effective restoration of shoulder cuff and the correct reconstruction of the large and smal nodules in semi-shoulder arthroplasty. Besides, it also should be combined with the early and standard functional exercises. The clinical effect of semi-shoulder arthroplasty is satisfactory and it is an effective way to treat complicated proximal humerus fractures.