人工肱骨头置换治疗肱骨外科颈骨折17例体会

摘要

Objective To investigate the clinical efficacy of humeral head replacement treatment for fracture of surgical neck of humerus and the technical application notes .Methods From June 2008 to June 2012 ,the clinical da-tas from 17 patients with fracture of surgical neck of humerus were analyzed .Results Followed up for 6 -36 months ,average 20 months ,there was no neurological damage ,fractures around the prostheses and complications of dislocations .According to Rowe's score system evaluation ,5 cases score were excellent ,8 cases score were good ,3 ca-ses score were general ,1 cases score was poor ,and the excellent and good rate was 76 .5% (13/17) .Conclusion The arthroplasty of artificial humerus might be an effective method for surgical treatment of fracture of surgical neck of humerus .%　　目的探讨人工肱骨头置换术治疗肱骨外科颈骨折的临床疗效以及该技术的应用和注意事项。方法回顾性分析2008年6月至2012年6月本院收治的17例肱骨外科颈骨折患者的临床资料，对手术进程、伤口愈合情况及并发症进行回顾分析。结果手术顺利，术后伤口均一期愈合，随访6～36个月，平均20个月，无神经损伤、假体周围骨折及脱位并发症。按Ro w e氏评分系统评价：优5例，良8例，一般3例，差1例，优良率76．5％（13/17）。结论人工肱骨头置换术是治疗肱骨外科颈骨折的一种有效方法。