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用于翻修固定良好的肱骨假体的垂直肱骨截骨术:病例报告及手术技术

Vertical humeral osteotomy for revision of well-fixed humeral components: case report and operative technique.

作者信息

Van Thiel Geoffrey, Piasecki Dana, Nicholson Gregory S

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, 1725 W. Harrison Street, Chicago, IL 60612, USA.

出版信息

Am J Orthop (Belle Mead NJ). 2009 Feb;38(2):67-71.

Abstract

The increase in the number of shoulder arthroplasties has also created a paradoxical increase in the number of revision procedures. These revision surgeries can be complicated by well-fixed humeral components that require removal. In this article, we report a representative revision arthroplasty that involved a novel technique, vertical humeral osteotomy, which allowed for safe and effective humeral stem extraction with no need for distal windows, no proximal bone loss, and no need for a long-stemmed prosthesis.

摘要

肩关节置换术数量的增加也导致了翻修手术数量反常地增加。这些翻修手术可能会因需要取出固定良好的肱骨组件而变得复杂。在本文中,我们报告了一例具有代表性的翻修关节成形术,该手术采用了一种新技术——肱骨垂直截骨术,该技术能够安全有效地取出肱骨干,无需打开远端窗口,不会造成近端骨质丢失,也无需使用长柄假体。

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