Schwägerl W, Zenz P
Orthopädischen Abteilung am Pulmologischen, Zentrum der Stadt Wien.
Wien Med Wochenschr. 1996;146(6-7):124-9.
The first part of the present article gives a comprehensive description of the pathology, diagnostics and forms of therapy of rheumatically impaired shoulder joints. Improved operative methods and methods such as bursectomy, synovectomy, reconstructive soft-tissue management and joint replacement depending on the stage of impediment have enhanced the use of surgery in the treatment of rheumatic shoulder joints. The second part gives a critical evaluation of indications, methods and results of modern shoulder joint replacement. A survey of written publications on the results of hemi- and total endoprostheses on the one hand, our own clinical experiences on the other, have shown that the use of modular hemiendoprostheses produces clinically excellent results with no problems of loosening of the glenoid part.
本文第一部分全面描述了风湿性肩关节损伤的病理学、诊断方法和治疗方式。根据损伤阶段改进的手术方法，如滑囊切除术、滑膜切除术、重建性软组织处理和关节置换术，增加了手术在风湿性肩关节治疗中的应用。第二部分对现代肩关节置换的适应症、方法和结果进行了批判性评估。一方面，对关于半关节和全关节假体结果的书面出版物进行综述，另一方面结合我们自己的临床经验，结果表明使用模块化半关节假体可产生临床极佳的效果，且不存在关节盂部分松动的问题。
