Schwyzer H K, Loehr J F, Simmen B R
Orthopädische Klinik, Schulthess-Klinik, Zürich.
Ther Umsch. 1998 Mar;55(3):203-9.
Shoulder arthroplasty has since it's more widespread introduction in the early seventies found a general acceptance as an excellent tool for treating late stage arthritis of the shoulder joint. The indications will vary from primary osteoarthritic disease to inflammatory diseases such as rheumatoid arthritis, or psoriatric arthritis. It is also used as a primary tool in multifragmented shoulder fractures, which can not be restored anatomically, or are felt at risk for avascular necrosis. The surgeon setting out for this procedure has to decide whether a total arthroplasty is required in cases with glenoid destruction, or at risk of developing secondary degenerative changes in the glenoid early on. A hemiarthroplasty will only replace the humeral side of the joint, but while well accepted in the fracture patient, the arthritic patients tend to fare better with a total joint replacement for pain relief.
自20世纪70年代初肩关节置换术更广泛应用以来，它已被普遍认可为治疗肩关节晚期关节炎的一种出色工具。其适应症范围从原发性骨关节炎疾病到类风湿性关节炎或银屑病关节炎等炎症性疾病。它还被用作多片段肩关节骨折的主要治疗手段，这些骨折无法通过解剖复位，或者被认为有缺血性坏死的风险。进行该手术的外科医生必须决定，在关节盂破坏的病例中，或者在早期有发生关节盂继发性退行性改变风险的情况下，是否需要进行全关节置换术。半关节置换术仅替换关节的肱骨侧，但虽然在骨折患者中被广泛接受，但关节炎患者进行全关节置换以缓解疼痛往往效果更好。
