Kligman M, Bretler D, Bernfeld B, Roffman M
Orthopedic Dept., Carmel Medical Center, Haifa.
Harefuah. 1996 Nov 1;131(9):307-9, 375.
Fracture of the humeral shaft as a complication of total shoulder replacement or shoulder hemiarthroplasty is infrequent, but has serious consequences. Traumatic injury is the most common reason for humeral fracture. The prosthesis causes corticolysis as a result of aseptic and septic loosening. Concomitant with increasing use of total and hemiarthroplasty of the shoulder, is an increase in aseptic loosening of the prosthesis. This increases the frequency of humeral fracture after the procedures. We reviewed the results of 3 patients, women aged 54 and 68 years, respectively, and a man of 65, who were treated for humeral fracture as a complication of hemiarthroplasty of the shoulder. We recommend surgical treatment for fracture around the tip of the prosthesis. Humeral fracture below the tip of the prosthesis should be treated individually, depending on the surgeon's experience.
肱骨干骨折作为全肩关节置换术或半肩关节置换术的并发症并不常见,但后果严重。创伤性损伤是肱骨干骨折最常见的原因。假体因无菌性和感染性松动导致骨皮质溶解。随着肩关节全置换术和半置换术使用的增加,假体无菌性松动也在增加。这增加了手术后肱骨干骨折的发生率。我们回顾了3例患者的治疗结果,分别为54岁和68岁的女性以及65岁的男性,他们因半肩关节置换术并发症导致肱骨干骨折接受治疗。我们建议对假体尖端周围的骨折进行手术治疗。假体尖端以下的肱骨干骨折应根据外科医生的经验进行个体化治疗。