肱骨头置换术中大结节固定与肩袖修复的研究进展
[Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement].
作者信息
Yuan Libo, Jin Tao, Xu Yongqing
机构信息
Department of Orthopaedic Surgery, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China;Graduate School of Kunming Medical University, Kunming Yunnan, 650500, P.R.China.
Department of Orthopaedic Surgery, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Feb 15;34(2):266-269. doi: 10.7507/1002-1892.201902066.
OBJECTIVE
To summarize the research progress of the greater tubercle fixation and the rotator cuff repair in humeral head replacement.
METHODS
The literature about proximal humerus fracture and humeral head replacement in recent years was extensively consulted and analyzed.
RESULTS
The greater tubercle fixation and the attached rotator cuff repair have great influence on the function of shoulder joint after humeral head replacement. It is difficult to make an objective comparison because of lack of direct comparison between various methods, unified standards of grading, and limited number of cases.
CONCLUSION
It is an important factor of reduction and fixation of greater tubercle to obtain better effectiveness in humeral head replacement. However, one-stage repair of rotator cuff is more important than greater tubercle fixation for functional recovery of shoulder joint.
目的
总结肱骨头置换术中大结节固定及肩袖修复的研究进展。
方法
广泛查阅并分析近年来有关肱骨近端骨折及肱骨头置换的文献。
结果
肱骨头置换术后，大结节固定及附着的肩袖修复对肩关节功能有很大影响。由于各种方法之间缺乏直接比较、统一的分级标准以及病例数量有限，难以进行客观比较。
结论
在肱骨头置换术中获得更好的疗效，大结节的复位与固定是重要因素。然而，对于肩关节功能恢复而言，肩袖一期修复比大结节固定更为重要。
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