Essilfie Anthony A, Gamradt Seth C
Department of Orthopaedic Surgery, Keck Medical Center at University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033, USA.
Department of Orthopaedic Surgery, Keck Medical Center at University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033, USA.
Clin Sports Med. 2018 Oct;37(4):527-535. doi: 10.1016/j.csm.2018.05.004.
Younger patients with severe glenohumeral (GH) arthritis are a challenge to treat, as they have high physical demands, high expectations, a long lifespan, and often altered anatomy from prior surgery or congenital deformity. Nonoperative management is the cornerstone of treatment; however, when it fails, shoulder arthroplasty can be indicated. Although the literature suggests that total shoulder arthroplasty is the most appropriate for severe GH arthritis, there are a subset of patients in which a hemiarthroplasty can still be successful. This article reviews the clinical performance of hemiarthroplasty in patients with specific diagnoses while highlighting the limitations of the operation.
患有严重盂肱关节（GH）关节炎的年轻患者治疗起来颇具挑战，因为他们对身体功能的要求高、期望高、寿命长，而且常因既往手术或先天性畸形导致解剖结构改变。非手术治疗是治疗的基石；然而，当非手术治疗失败时，可考虑行肩关节置换术。尽管文献表明全肩关节置换术最适合严重的GH关节炎，但仍有一部分患者行半肩关节置换术也能取得成功。本文回顾了半肩关节置换术在特定诊断患者中的临床疗效，同时强调了该手术的局限性。
