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Shoulder hemiarthroplasty for the treatment of complex proximal humeral fractures

Shoulder hemiarthroplasty for the treatment of complex proximal humeral fractures

作     者:YANG Shu-hua WANG Jing XU Wei-hua LI Jin LIU Guo-hui YANG Can YE Shu-nan YE Zhe-wei LIU Yong 

作者机构:Department of Orthopedics Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 China 

出 版 物:《Chinese Journal of Traumatology》 (中华创伤杂志(英文版))

年 卷 期:2009年第12卷第1期

页      面:-页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Shoulder Arthroplasty Humeral fractures Prosthesis implantation 

摘      要:Objective: To investigate the indication, perioperative announcements, selection of prosthesis and clinical results of shoulder hemiarthroplasty for the treatment of complex proximal humeral ***: A total of 55 patients who suffered from com-plex proximal humeral fractures were treated by shoulder hemiarthroplasty. The mean age was 55.6 years and mean follow-up period was 25.1 months. The scoring system modi-fication for hemiarthroplasty (SSMH) had been adopted for evaluation at the latest ***: The pain was obviously relieved in all patients. Fifty patients were painless and 5 patients had slight pain. The mean range of motion was 100°(90°-110°) in abduction, 95°(80°-100°) in forward flexion, 35°(30°-40°) in extemal rotation and internal rotation was confined at L2 level (L1-L3). The mean SSMH score was 27.9 (24-29). Fifty patients (90.1%) were satisfied with the clinical ***: Shoulder hemiarthroplasty is an effective method to treat complex proximal humeral fractures. The proper selection of patients and prosthesis, good operation skill and enough functional exercise are the key points of successful treatment.

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