Duralde Xavier A
Piedmont Hospital, Atlanta, Georgia, USA.
Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):321-5.
Humeral head resurfacing is indicated for the treatment of glenohumeral arthrosis in a variety of well-described situations, including humeral shaft abnormalities and obstructing hardware. This report of 2 cases emphasizes the benefit of this stemless device in situations in which dislocation of the humeral head and access to the humeral canal is not possible. In these 2 patients with developmental dysplasia and secondary glenohumeral arthrosis, humeral head resurfacing arthroplasty resulted in successful improvement of severe preoperative pain. In cases in which the humeral head cannot be dislocated due to severe dysplastic changes and joint line medialization, humeral resurfacing arthroplasty allows prosthetic placement through nontraditional exposures and results in high patient satisfaction and excellent pain relief.
肱骨头表面置换术适用于多种已明确描述的情况下的盂肱关节骨关节炎的治疗,包括肱骨干异常和阻碍植入物。本报告的2例病例强调了这种无柄装置在无法实现肱骨头脱位和进入肱骨髓腔的情况下的益处。在这2例患有发育性发育不良和继发性盂肱关节骨关节炎患者中,肱骨头表面置换术成功改善了术前的严重疼痛。在因严重发育异常改变和关节线内移而无法使肱骨头脱位的病例中,肱骨头表面置换术可通过非传统入路进行假体植入,患者满意度高,疼痛缓解效果极佳。