Antonios Tony, Bakti Nik, Phadkhe Akshay, Gulihar Abhinav, Singh Bijayendra
Department of Trauma & Orthopaedics, King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK.
Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
J Clin Orthop Trauma. 2020 Feb;11(Suppl 1):S31-S36. doi: 10.1016/j.jcot.2019.07.008. Epub 2019 Jul 24.
Fractures of the proximal humerus are very common and increasing in incidence within an ageing population. The majority of undisplaced fractures can be treated conservatively. Displaced fractures in good quality bone or in the young are considered for surgical fixation. However, displaced and comminuted fractures with or without dislocation, especially in the elderly, cannot be reliably treated with fixation. These patients are generally considered for joint arthroplasty. This review article focuses on the outcome following arthroplasty for proximal humeral fractures.
肱骨近端骨折非常常见，且在老龄化人群中的发病率不断上升。大多数无移位骨折可采用保守治疗。骨质良好或年轻患者的移位骨折可考虑手术固定。然而，伴有或不伴有脱位的移位粉碎性骨折，尤其是老年患者，无法通过固定得到可靠治疗。这些患者通常考虑进行关节置换术。这篇综述文章重点关注肱骨近端骨折关节置换术后的结果。
