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反肩关节置换术后假体周围肱骨骨折。病例报告。

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report.

作者信息

Wajnsztejn Andre, Foni Noel Oizerovici, Oizerovici Dan, Pires Robinson Esteves Santos, Ejnisman Benno

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Einstein (Sao Paulo). 2018;16(1):eRC4037. doi: 10.1590/S1679-45082017RC4037. Epub 2017 Sep 21.

DOI:10.1590/S1679-45082017RC4037
PMID:28954037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6256734/
Abstract

Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification.

摘要

假体周围骨折是关节置换术后的一种严重并发症。随着反肩关节置换手术的迅速增加，过去被认为罕见的假体周围肱骨骨折在不久的将来可能会增多。我们报告了一例反肩关节假体柄下方移位肱骨骨折的病例。患者为一名85岁女性，6年前接受了全肩关节置换术。手术解决方案包括钢板内固定和环扎术。本报告描述了巴西文献中前所未有的病例；并概述了包括这种损伤分类在内的现有文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/9667396959b1/1679-4508-eins-S1679-45082017RC4037-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/484ead5350f2/1679-4508-eins-S1679-45082017RC4037-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/0221d85e3eec/1679-4508-eins-S1679-45082017RC4037-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/9667396959b1/1679-4508-eins-S1679-45082017RC4037-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/484ead5350f2/1679-4508-eins-S1679-45082017RC4037-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/0221d85e3eec/1679-4508-eins-S1679-45082017RC4037-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/9667396959b1/1679-4508-eins-S1679-45082017RC4037-gf03.jpg

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本文引用的文献

1
Long-Term Outcomes of Reverse Total Shoulder Arthroplasty: A Follow-up of a Previous Study.反式全肩关节置换术的长期疗效：一项既往研究的随访
J Bone Joint Surg Am. 2017 Mar 15;99(6):454-461. doi: 10.2106/JBJS.16.00223.
2
Periprosthetic humeral fractures associated with reverse total shoulder arthroplasty: incidence and management.与反式全肩关节置换术相关的假体周围肱骨骨折：发生率及处理
Int Orthop. 2015 Oct;39(10):1965-9. doi: 10.1007/s00264-015-2972-7. Epub 2015 Aug 29.
3
Outcomes and Costs of Reverse Shoulder Arthroplasty in the Morbidly Obese: A Case Control Study.
病态肥胖患者行反式肩关节置换术的结果和成本：一项病例对照研究。
J Bone Joint Surg Am. 2014 Jul 16;96(14):1169-1176. doi: 10.2106/JBJS.M.00735.
4
Complications rates, reoperation rates, and the learning curve in reverse shoulder arthroplasty.反式肩关节置换术的并发症发生率、再手术率和学习曲线。
J Shoulder Elbow Surg. 2014 Mar;23(3):388-94. doi: 10.1016/j.jse.2013.06.002. Epub 2013 Sep 8.
5
Increasing incidence of shoulder arthroplasty in the United States.美国肩关节置换术的发病率不断上升。
J Bone Joint Surg Am. 2011 Dec 21;93(24):2249-54. doi: 10.2106/JBJS.J.01994.
6
Radiographic assessment of cemented humeral components in shoulder arthroplasty.肩关节置换术中肱骨假体骨水泥固定组件的影像学评估
J Shoulder Elbow Surg. 2001 Nov-Dec;10(6):526-31. doi: 10.1067/mse.2001.118482.
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Periprosthetic humeral fractures: management and classification.人工关节周围肱骨骨折：治疗与分类
J Shoulder Elbow Surg. 1999 Nov-Dec;8(6):590-4. doi: 10.1016/s1058-2746(99)90095-2.
8
Periprosthetic humeral fractures: mechanisms of fracture and treatment options.人工关节周围肱骨骨折：骨折机制与治疗选择
J Shoulder Elbow Surg. 1998 Jul-Aug;7(4):406-13. doi: 10.1016/s1058-2746(98)90033-7.
9
Humeral fractures after shoulder arthroplasty.肩关节置换术后的肱骨骨折
J Bone Joint Surg Am. 1995 Sep;77(9):1340-6. doi: 10.2106/00004623-199509000-00008.