Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures.
Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures.
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DOI：
10.1016/s1058-2746(05)80059-x
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发表时间：
1995-03-01
影响因子：
3
通讯作者：
Zuckerman, J D
中科院分区：
文献类型：
--
作者：
Goldman, R T;Koval, K J;Zuckerman, J D
从1986年3月至1991年12月，我们对26例急性三部分和四部分肱骨近端骨折进行了半关节成形术。在平均30个月（范围12至66个月）的随访期内，使用美国肩肘外科医生评估表对22例患者的术后疼痛、活动范围和功能进行了评估。73%的患者仅报告轻微疼痛或无疼痛。主动前仰平均107 °，外旋平均31 °，内旋平均至第二腰椎。力量和稳定性很少有问题。73%的患者报告了15项功能任务中至少3项的困难。最常见的限制是举重、负重和使用肩部或肩部以上的手。这项研究表明，急性三部分和四部分骨折的半髋关节置换术通常可以预期导致肩关节无痛。然而，功能恢复和活动范围的可预测性要小得多。
Twenty-six hemiarthroplasties were performed for acute three- and four-part proximal humerus fractures between March 1986 and December 1991. Postoperative pain, active range of motion, and function were evaluated in 22 patients at a mean follow-up period of 30 months (range 12 to 66 months) with the American Shoulder and Elbow Surgeons evaluation form. Seventy-three percent of patients reported only slight or no pain. Active forward elevation averaged 107 degrees, external rotation averaged 31 degrees, and the average internal rotation was to the second lumbar vertebra. Strength and stability were rarely problematic. Seventy-three percent of patients reported difficulty with at least three of 15 functional tasks tested. Lifting, carrying a weight, and using the hand at or above shoulder level were the most common limitations. This study indicates that hemiarthroplasty for acute three- and four-part fractures generally can be expected to result in painfree shoulders. However, recovery of function and range of motion are much less predictable.