Clinical efficacy analysis of artificial humeral head replacement for treating elderly patients’proximal humeral Neer three-part and four-part fractures
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (1) : 104-107.
Clinical efficacy analysis of artificial humeral head replacement for treating elderly patients’proximal humeral Neer three-part and four-part fractures
Objective To discuss the indications, surgical methods andclinical efficacy of treating elderly patients’proximal humeral Neer three-part and four-part fractures. Methods 39 elderly patients with proximal humeral complex fractures received artificial humeral head replacement were analyzed， retrospectively；Postoperative function of the shoulder joint and degree of pain in 15 cases with three-part fractures and 24 cases with four-part fractures, were assessed using neer score of shoulder joint function and VAS score of pain, respectively. Results All patients were followed up with follow-up time ranging from 12 to 32 months, with an average of 24 months; Neer score: 15 cases were optimal, 18 cases were good, 5 cases were moderate, 1 case was bad, the excellent rate being 84.6%. Conclusion Artificial humeral head replacement for treating elderly patients’ proximal humeral Neer three-part and four-part fractures can get satisfactory curative effect; the key for guaranteeing postoperative clinical efficacy includes correct prosthesis implantation, effective rotator cuff repair, corrective reconstruction of greater and lesser humeral tubercles in operation and individualized early joint functional exercise.
Artificial humeral head replacement / Proximal humeral fracture / Surgical treatment
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