| 人工肱骨头置换治疗老年肱骨近端骨折 |
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| 引用本文： | 李瑞琦,刘进炼,刘新晖,董威,于晓光,任立中,李亚丽,姚龙祥,沙子义. 人工肱骨头置换治疗老年肱骨近端骨折[J]. 中国骨伤, 2006, 19(7): 424-425 |
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| 作者姓名： | 李瑞琦 刘进炼 刘新晖 董威 于晓光 任立中 李亚丽 姚龙祥 沙子义 |
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| 作者单位： | 河北医科大学第一医院骨科,河北,石家庄,050031 |
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| 摘 要： | 目的:探讨应用人工肱骨头置换治疗老年肱骨近端骨折的疗效。方法:采用三角肌、胸大肌间隙入路行人工肱骨头置换术治疗老年肱骨近端骨折25例,男12例,女13例;年龄60~92岁,平均75.5岁。按Neer分类标准对肱骨近端骨折进行分型:三部分骨折8例,四部分骨折15例,肱骨头劈裂骨折2例。新鲜骨折21例,陈旧骨折4例。术后第3天行肩、肘、腕、手关节的主动或被动练习。结果:手术时间45~90 m in,平均60 m in,出血量200~300 m l。25例手术后均获随访,随访时间1~3年,平均1.5年。所有患者均无感染、神经损伤和假体周围骨折,无假体松动、脱位等并发症。术后根据美国UCLA评分标准:优(34~35分)5例,良(28~33分)16例,中(21~27分)3例,差(0~20分)1例,优良率为84%。术后肩关节活动范围上举为90.5°±6.2°,外旋61.0°±4.5°,内旋75.6°±2.1°。结论:人工肱骨头置换术是治疗老年肱骨近端骨折较满意的方法,手术时间相对较短,术后功能恢复快,能有效减轻肩关节疼痛。
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| 关 键 词： | 肱骨骨折 关节成形术 置换 老年人 |
| 收稿时间： | 2005-08-09 |
| 修稿时间： | 2005-08-09 |
Artificial humeral head replacement for the treatment of fractures of proximal humerus in senile patients |
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| LI Rui-qi,LIU Jin-lian,LIU Xin-hui,DONG Wei,YU Xiao-guang,REN Li-zhong,LI Ya-li,YAO Long-xiang and SHA Zi-yi. Artificial humeral head replacement for the treatment of fractures of proximal humerus in senile patients[J]. China journal of orthopaedics and traumatology, 2006, 19(7): 424-425 |
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| Authors: | LI Rui-qi LIU Jin-lian LIU Xin-hui DONG Wei YU Xiao-guang REN Li-zhong LI Ya-li YAO Long-xiang SHA Zi-yi |
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| Affiliation: | Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Department of Orthopeadics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China |
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| Abstract: | |
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| Keywords: | Humeral fractures Arthroplasty replacement Aged |
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