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Shoulder arthrodesis with a reconstruction plate

机译:带重建板的肩关节固定术

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摘要

From 1995 to 2005, arthrodesis with a reconstruction plate was performed for eight shoulders. The average follow-up period was 44 months. The indications for shoulder arthrodesis were joint destruction as a sequel of tuberculous arthritis, malignant bone tumour, pyogenic arthritis, failed arthrodesis and paralysis of the brachial plexus. The evaluation criteria included bony union and pain. Two cases of malignant tumour required an homologous bone graft due to severe bone deficit—a fracture that occurred in the distal part of the arthrodesed shoulder after removing the plate. With the exception of these two cases, severe pain or other complications did not occur in any other case. Shoulder arthrodesis with a reconstruction plate was judged to be a useful method for glenohumeral salvage in cases without severe bone deficit. Further, additional treatment methods should be considered to prevent fracture that may occur as a result of severe bone deficit.
机译:从1995年至2005年,对八个肩部进行了带重建板的关节固定术。平均随访期为44个月。肩关节置换术的指征是关节破坏,是结核性关节炎的继发症,恶性骨肿瘤,化脓性关节炎,关节置换术失败和臂丛神经麻痹。评价标准包括骨性结合和疼痛。由于严重的骨缺损,有2例恶性肿瘤患者需要进行同种异体骨移植-取下钢板后,骨折发生在关节固定的肩部远端。除上述两种情况外,在其他任何情况下均未发生严重的疼痛或其他并发症。在没有严重骨缺损的情况下,带有重建板的肩关节固定术被认为是挽救肱骨头的一种有用方法。此外,应考虑采用其他治疗方法以防止由于严重的骨缺损而发生骨折。

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