Huten D, Duparc J, Olivier H, Anract P, Fitoussi F
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Bichat, Paris.
Chirurgie. 1991;117(5-6):460-8.
Eighty prostheses, including 46 humeral prostheses and 34 total ones, have been laid for complex injuries of the shoulder. In 56 cases, these were recent fractures, mainly of the head and tubercle of the humerus, in subject ages 65 in average. In 34 cases, the injuries were older and comprised malunion or epiphyseal necrosis. Five cases of subluxation and six of secondary displacement of the tubercles were noted. Pain was suppressed in most cases, but mobility was less satisfactory (37% exceeding 90 degrees active elevation). The humeral sealing evolved in a reassuring way, but a poorly evolutive glenoid rim was often observed. Finally, upper subluxation may occur during the evolution, which suggests the possibility of secondary ruptures in the rotator cuff.
已为肩部复杂损伤植入了80个假体，其中包括46个肱骨假体和34个全肩关节假体。56例为近期骨折，主要是肱骨头部和结节骨折，患者平均年龄65岁。34例损伤时间较长，包括畸形愈合或骨骺坏死。记录到5例半脱位和6例结节继发性移位。大多数情况下疼痛得到缓解，但活动度不太理想（37%的患者主动抬高超过90度）。肱骨假体固定情况进展良好，但经常观察到肩胛盂边缘情况进展不佳。最后，在恢复过程中可能会发生上方半脱位，这提示肩袖可能出现继发性撕裂。
