Nguyen Manh Khanh, Nguyen Van Hoc, Cao Dinh Bang, Le Xuan Hoang
Department of Upper limb surgery and sports medicine Viet Duc Hospital.
Orthop Rev (Pavia). 2024 Apr 3;16:115587. doi: 10.52965/001c.115587. eCollection 2024.
Translational Study Introduction: The proximal humeral fracture accounts for 4-5% of all fractures1 and traffic accidents are often the main cause of this injury in Vietnam. Shoulder hemiarthroplasty is a suitable option in treating a complex proximal humeral fracture, especially in the elderly, and improves quality of life. This study describes clinical and radiographic characteristics of complex proximal humerus fractures and evaluates the results of shoulder hemiarthroplasty for this type of fracture at Viet Duc University Hospital Materials and methods: A retrospective study of 78 cases with complex proximal humeral fractures underwent shoulder hemiarthroplasty in Viet Duc University Hospital from January 2017 to December 2021.
Traffic accidents (42 cases, 53.8%); daily-life accidents (34 cases, 43.6%), other causes were less common (2 cases, 2.6%). 74.4% of the patients had no pain, 17.4% mild pain, 7.7% moderate pain, and no patients suffered from severe pain that required regular narcotic analgesics. The mean postoperative Constant score was 67.45 ± 13.20.
In Viet Nam, the most common cause of injury was a traffic accident, primarily occurring in young males with complex proximal humerus fractures, shoulder hemiarthroplasty for complex proximal humerus fractures improves postoperative pain and shoulder function.
转化研究 引言：肱骨近端骨折占所有骨折的4%-5%，在越南，交通事故常是此类损伤的主要原因。半肩关节置换术是治疗复杂肱骨近端骨折的合适选择，尤其适用于老年人，可改善生活质量。本研究描述了复杂肱骨近端骨折的临床和影像学特征，并评估了越南德医院对这类骨折进行半肩关节置换术的结果。 材料与方法：对2017年1月至2021年12月在越南德医院接受半肩关节置换术的78例复杂肱骨近端骨折病例进行回顾性研究。
交通事故（42例，53.8%）；日常生活事故（34例，43.6%），其他原因较少见（2例，2.6%）。74.4%的患者无疼痛，17.4%轻度疼痛，7.7%中度疼痛，无患者有需要常规使用麻醉性镇痛药的重度疼痛。术后Constant评分的平均值为67.45±13.20。
在越南，最常见的受伤原因是交通事故，主要发生在患有复杂肱骨近端骨折的年轻男性中，对复杂肱骨近端骨折进行半肩关节置换术可改善术后疼痛和肩关节功能。
