Kohn D, Rupp S
Orthopädische Klinik, Universitätskliniken des Saarlandes, Homburg-Saar, Germany.
Orthopade. 1997 Jul;26(7):630-633. doi: 10.1007/PL00003422.
After loss of active glenohumeral motion the arm cannot be positioned in space and function is impaired. Fusion of the glenohumeral joint creates a new platform for the movement of elbow, hand and fingers and leads to an improvement of function. The use of the reconstructive plate makes the operation easier. Shoulder fusion is especially suited if the function of elbow and hand is well preserved and if the patient is physically active. But fusion is definite and the options of muscle transfer operations and above elbow amputation have to be considered.
在丧失肱盂关节主动活动后，手臂无法在空间中定位，功能受损。肱盂关节融合为肘部、手部和手指的活动创造了一个新平台，并导致功能改善。重建钢板的使用使手术更容易。如果肘部和手部功能保存良好且患者身体活动能力较好，肩关节融合术尤其适用。但融合是永久性的，必须考虑肌肉转移手术和肘上截肢等选择。
