Siegel J A, Dines D M
Department of Orthopedic Surgery, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA.
Orthop Clin North Am. 2000 Jan;31(1):35-50. doi: 10.1016/s0030-5898(05)70126-7.
Malunion of a proximal humerus fracture often is painful and debilitating. Operative management of this deformity is technically demanding and frequently results in a relatively high rate of complications. Reconstruction involves a spectrum of procedures including excision of bony prominences, tuberosity osteotomy and realignment, and shoulder arthroplasty. This article covers the etiology, classification, diagnosis, and management of these complex injuries. A successfully performed reconstruction diminishes the patient's pain and potentially increases function.
肱骨近端骨折畸形愈合通常会引起疼痛并导致功能障碍。对这种畸形进行手术治疗技术要求高，且常常导致较高的并发症发生率。重建手术包括一系列操作，如切除骨赘、结节截骨与重新复位，以及肩关节置换术。本文涵盖了这些复杂损伤的病因、分类、诊断和治疗。成功实施的重建手术可减轻患者疼痛，并有可能改善功能。
