Zafra Manuel, Uceda Pilar, Ruiz-Bonilla Carmen
Instituto de Traumatología Cordobés, Avenida de la Arruzafilla S/N, 14011, Córdoba, Spain.
Reina Sofía University Hospital, Avda. Menéndez Pidal, 14004, Córdoba, Spain.
Eur J Orthop Surg Traumatol. 2019 May;29(4):933-936. doi: 10.1007/s00590-019-02388-5. Epub 2019 Jan 28.
Locked posterior dislocations of the shoulder with an impacted fracture of the humeral head and an articular surface defect greater than 35-40% are generally treated with a femoral head bone graft or prosthesis. We present a case in which a subtraction osteotomy with osteoclasia on the impacted zone was performed to try to make the articular surface of the humeral head congruent and continuous. With a 42-month follow-up, the clinical outcome, in terms of mobility and pain, was very good; X-rays show there was no avascular necrosis of the humeral head nor signs of articular arthrosis. The aim of this work is to present a detailed description of our procedure, which can be a therapeutic option for this type of pathology.
伴有肱骨头嵌插骨折且关节面缺损大于35% - 40%的肩关节后脱位通常采用股骨头骨移植或假体治疗。我们报告了1例病例，该病例在嵌插区域进行了减积截骨术并同时进行折骨术，试图使肱骨头关节面恢复一致且连续。经过42个月的随访，在活动度和疼痛方面，临床结果非常良好；X线显示肱骨头无缺血性坏死，也无关节性关节炎迹象。本文的目的是详细描述我们的手术方法，该方法可作为这类病症的一种治疗选择。
