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肩关节融合术与关节成形术的结果(作者译)

[Results of arthrodesis and arthroplasty on the shoulder joint (author's transl)].

作者信息

Pallesen J

出版信息

Unfallchirurgie. 1980;6(4):250-5. doi: 10.1007/BF02589475.

Abstract

In a follow-up study the results of four arthrodeses, twenty allo-arthroplasties and ten resection-arthroplasties of the shoulder joint are reported. Arthrodeses were done after severe posttraumatic arthrosis or after injuries to the brachial plexus. Allo-arthroplasties resection-arthroplasties were predominantly applied in cases of compound fractures or in tumours. Such operations were indicated rarely and only in cases where the shoulder joint could not be preserved. After allo-arthropaties a high rate of complications was seen. The use of this method should be restricted in cases of tumour; it is only exceptionally indicated in fractures. The resection-arthroplasties showed good or moderate results, if the insertions of the muscles could be preserved.

摘要

在一项随访研究中,报告了肩关节的4例关节固定术、20例同种异体关节成形术和10例切除关节成形术的结果。关节固定术在严重创伤后关节炎或臂丛神经损伤后进行。同种异体关节成形术和切除关节成形术主要应用于复合骨折或肿瘤病例。此类手术很少有指征,仅在肩关节无法保留的情况下进行。同种异体关节成形术后并发症发生率较高。在肿瘤病例中应限制使用这种方法;仅在骨折病例中偶尔有指征。如果肌肉附着点能够保留,切除关节成形术显示出良好或中等的效果。

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