Miniaci A, Scarcella M J
Orthopedic and Rheumatologic Institute, Cleveland Clinic Center for Sports Health, 5555 Transportation Blvd., 44022, Garfield Heights, OH, USA.
Orthopade. 2021 Feb;50(2):112-118. doi: 10.1007/s00132-020-04055-8.
This article provides a review of the various options for the treatment of osteoarticular pathology of the shoulder. This can range from focal osteochondral defects to diffuse arthritis and can occur at any age. Although total shoulder arthroplasty and hemiarthroplasty are the most frequently used methods, they not generally suitable for younger patients under 60 years old due to the lack of long-term stability and deterioration. If conservative treatment is unsuccessful or not an option, resurfacing is an alternative procedure with good long-term results. The various methods that have been reported for resurfacing and partial resurfacing of the humeral head are described as well as the results of studies on these procedures. In this article the indications, biomechanics, outcomes and complications are outlined for the two resurfacing options preferred by the authors.
本文综述了肩部骨关节炎病理的各种治疗选择。其范围可从局灶性骨软骨缺损到弥漫性关节炎，且可发生于任何年龄。尽管全肩关节置换术和半肩关节置换术是最常用的方法，但由于缺乏长期稳定性和退变，它们通常不适用于60岁以下的年轻患者。如果保守治疗不成功或不可行，表面置换是一种具有良好长期效果的替代手术。文中描述了已报道的肱骨头表面置换和部分表面置换的各种方法以及这些手术的研究结果。本文概述了作者所青睐的两种表面置换选择的适应症、生物力学、疗效和并发症。
