| 人工肱骨头置换治疗老年肱骨近端粉碎骨折 |
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| 引用本文： | 徐慰凯,李培浩,宋晓斌,陈芒.人工肱骨头置换治疗老年肱骨近端粉碎骨折[J].实用骨科杂志,2010,16(2):88-89. |
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| 作者姓名： | 徐慰凯 李培浩 宋晓斌 陈芒 |
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| 作者单位： | 潮州市解放军第188医院骨科,广东,潮州,521000 |
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| 摘 要： | 目的探讨人工肱骨头置换治疗老年肱骨近端粉碎骨折的疗效。方法对14例肱骨近端粉碎骨折老年患者施行人工肱骨头置换术，并进行疗效评定。患者年龄65～78岁，平均年龄72岁，7例为三部分骨折，2例为肱骨头劈裂骨折，5例为四部分骨折，其中5例伴肩关节半脱位，手术全部采用骨水泥型人工肱骨头假体。结果本组14例术后随访6～24个月，平均15个月，按肩关节Neer评分系统进行评价，优2例，良10例，可2例，优良率85．7％。结论人工肱骨头置换治疗老年肱骨近端粉碎骨折，能有效解除疼痛、重建关节功能，是一种理想的治疗方法。
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| 关 键 词： | 肱骨头置换 肱骨近端粉碎性骨折 肩关节 |
Treatment of Comminuted Proximal Humeral Fractures in Elderly Patients with Humeral Head Replacement |
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| XU Wei-kai,LI Pei-hao,SONG Xiao-bin,et al.Treatment of Comminuted Proximal Humeral Fractures in Elderly Patients with Humeral Head Replacement[J].Journal of Practical Orthopedics,2010,16(2):88-89. |
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| Authors: | XU Wei-kai LI Pei-hao SONG Xiao-bin |
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| Institution: | XU Wei-kai,LI Pei-hao,SONG Xiao-bin,et al(Department of Orthopaedics,the 188th Hospital of PLA,Chaozhou 521000,China) |
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| Abstract: | Objective To investigate the clinical outcome of artifical humeral head replacement in the treatment of comminuted proximal humeral fractures.Methods 14 elderly patients with comminuted proximal humeral fractures were treated.The mean age was 72 years.7 patients was classified as three-part fracture;2 as head-splitting-fracture and 5 had four-part fractures,including 5-dislocations.All the patients were treated with modular cemented prostheses.Results The mean follow-up was 15 months(range from 6 months to ... |
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| Keywords: | humeral head replacement comminuted proximal humeral fractures shoulder joint |
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