[1]孙鹏,谭磊,阎乾,等.人工肱骨头置换术治疗老年肱骨近端Neer三、四部分骨折[J].中医正骨,2016,28(05):43-45.
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人工肱骨头置换术治疗老年肱骨近端Neer三、四部分骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年05期
页码:
43-45
栏目:
临床报道
出版日期:
2016-05-20

文章信息/Info

作者:
孙鹏谭磊阎乾陈锋
广西中医药大学附属瑞康医院,广西 南宁 530011
关键词:
肩骨折 肱骨骨折 人工肱骨头置换术 骨质疏松
摘要:
目的:探讨人工肱骨头置换术治疗老年肱骨近端Neer三、四部分骨折的临床疗效和安全性。方法:2010年7月至2014年11月收治23例老年肱骨近端骨折患者。男8例,女15例; 年龄66~84岁,中位数75岁; 左侧9例,右侧14例; Neer三部分骨折13例,四部分骨折10例; 16例合并肩关节脱位,5例合并桡骨远端骨折,1例合并尺桡骨骨折; 均未合并血管、神经损伤,均合并不同程度的骨质疏松症。受伤至就诊时间1 h至2 d。均采用人工肱骨头置换术治疗,术后随访观察肩关节功能和并发症发生情况。结果:本组患者手术时间90~160 min,中位数127 min; 术中出血200~500 mL,中位数374 mL。所有患者均获随访,随访时间15~24个月,中位数20个月。切口均甲级愈合,术中未发生血管、神经损伤,术后未发生感染、骨水泥过敏、假体脱位、松动及断裂等并发症。末次随访时按照Neer肩关节功能评分标准评定,优9例、良11例、中3例。结论:采用人工肱骨头置换术治疗老年肱骨近端Neer三、四部分骨折,可有效恢复患者的肩关节功能,而且具有较高的安全性。

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备注/Memo

备注/Memo:
通讯作者:陈锋 E-mail:chenfeng2000@163.com
更新日期/Last Update: 2016-10-30