肱骨头置换术中肱骨大结节固定及肩袖修复研究进展

目的总结肱骨头置换术中肱骨大结节固定及肩袖修复方式的研究进展。方法广泛查阅近年来国内外肱骨头置换以及肱骨近端骨折治疗相关文献,并进行总结分析。结果肱骨大结节固定及其附着肩袖修复对肱骨头置换术后肩关节功能有明显影响。为促进肱骨大结节愈合,学者就肱骨大结节固定方法及材料进行了研究,但针对不同固定方法及材料缺少随机对照研究及统一的评分量表,同时由于病例数有限,难以进行客观比较。结论肱骨大结节良好复位固定是肱骨头置换术获得较好疗效的重要因素。但就肩关节功能恢复方面,肱骨头置换时一期修复肩袖比大结节复位固定更重要。

Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement

Objective To summarize the research progress of the greater tubercle fixation and the rotator cuff repair in humeral head replacement.Methods The literature about proximal humerus fracture and humeral head replacement in recent years was extensively consulted and analyzed.Results The greater tubercle fixation and the attached rotator cuff repair have great influence on the function of shoulder joint after humeral head replacement.It is difficult to make an objective comparison because of lack of direct comparison between various methods,unified standards of grading,and limited number of cases.Conclusion It is an important factor of reduction and fixation of greater tubercle to obtain better effectiveness in humeral head replacement.However,one-stage repair of rotator cuff is more important than greater tubercle fixation for functional recovery of shoulder joint.