Clinical effect of artificial semi- shoulder joint replacement in treatment of humeral head necrosis

YAO Qiang; YUAN Cheng-song; TAO Xu; ZHOU Bing-hua; TANG Kang-lai

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Clinical effect of artificial semi- shoulder joint replacement in treatment of humeral head necrosis

更新时间：2023-05-22

- Clinical effect of artificial semi- shoulder joint replacement in treatment of humeral head necrosis
- null Issue 1, (2019)
- 作者机构：
  
  1. 什邡市人民医院骨科，四川什邡,618400
  2. 陆军军医大学第一附属医院骨科,重庆,400038
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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YAO Qiang, YUAN Cheng-song, TAO Xu, et al. Clinical effect of artificial semi- shoulder joint replacement in treatment of humeral head necrosis. [J]. null (1).(2019)
DOI：

YAO Qiang, YUAN Cheng-song, TAO Xu, et al. Clinical effect of artificial semi- shoulder joint replacement in treatment of humeral head necrosis. [J]. null (1).(2019) DOI：

摘要

目的探讨人工半肩关节置换术治疗肱骨头坏死的临床治疗效果。方法收集陆军军医大学第一附属医院2008年2月至2018年1月诊断为肱骨头坏死的患者20例，其中男8例，女12例；左肩7例，右肩13例；年龄45～83岁，平均(67.40±5.06)岁。所有患者均完成至少6个月随访，随访时测量患肢前屈上举角、外展角、外旋角、内旋角，采用ASES评分、UCLA评分、SST评分、VAS疼痛评分对肩关节功能进行评价，并行影像学检查。结果 20例患者术后随访6～37个月，平均(18.50±5.31)个月，其中2例患者肩关节活动时出现轻度疼痛，1例患者患肢出现臂丛神经损伤的临床表现，但在术后第3个月复查已恢复正常;患者术后未出现关节感染、脱位等并发症，在随访期内复查X射线片均提示肩关节假体位置及角度都较好。患肩术前前屈上举、外展、外旋、内旋角度分别是(55.24±8.21)°、(42.58±6.21)°、(12.95±2.74)°、(17.79±3.65)°，末次随访分别是(120.76±13.15)°、(103.08±10.54)°、(33.51±3.14)°、(50.10±7.25)°，末次随访的关节活动度与术前比较差异具有统计学意义(P＜0.01);患肩术前ASES评分、UCLA评分、SST评分、VAS疼痛评分分别是（38.24±5.21）、（12.58±3.93）、（3.25±1.42）、(6.79±1.65)分，末次随访分别是(75.74±9.69）、(33.08±4.5）、（9.11±1.85）、(1.45±0.24)分

末次随访的各项评分与术前比较差异具有统计学意义(P＜0.01)。结论人工半肩关节置换治疗肱骨头坏死具有肩功能优良率高、并发症少的优点，可明显改善患者患肢功能活动范围及疼痛症状，提高患者生活质量。

Abstract

Objective To explore the clinical effect of the semishoulder arthroplasty in the treatment of humeral head necrosis.Methods Twenty patients with head necrosis of the humerus in first hospital affiliated to army medical university from February 2008 to January 2018 were collected

including 8 cases of males

12 cases of females

7 cases of left shoulder and 13 cases of right shoulder. The patients were aged from 45 to 83 years old

mean (67.40±5.06)years old.All patients were followed up for at least 6 months

the anterior flexion angle

abduction angle

external rotation angle and internal rotation angle of shoulder joint were measured

the function of shoulder joint was evaluated by ASES

UCLA

SST

and VAS

and the imaging examination was conducted. Results All patients were followed up for 6 to 37 months after surgery

with average (18.50±5.31) months，2 patients presented mild pain during shoulder joint activity

1 patient presented brachial plexus nerve damage

but returned to normal 3 months after surgery.No complication happened. X-ray reexamination showed good position and angle of the prosthesis during the followup period. The preoperative anteflexion angle

angle of outreach

swing angle and swing angle of the shoulder joint were respectively (55.24±8.21)°

(42.58±6.21)°

(12.95±2.74)°

(17.79±3.65)°

the last followup were respectively(120.76±13.15) °

(103.08±10.54) °

(33.51±3.14) °

(50.10±7.25) °

the differences were significant(P<0.01); The preoperative ASES score

UCLA score

SST score

VAS score of the shoulder joint were respectively（38.24±5.21）

（12.58±3.93）

（3.25±1.42）

(6.79±1.65)

the last followup were respectively（75.74±9.69）

（33.08±4.5）

（9.11±1.85）

(1.45±0.24)

the differences were significant(P<0.01)．Conclusion Artificial semi-shoulder replacement for the treatment of humeral head necrosis can significantly improve the range of limb function

relieve the pain symptoms of patients and improve patients quality of life

which has excellent and good shoulder function rate and fewer complications.

关键词

肱骨头坏死肩关节置换术疼痛肩关节退行性疾病人工肩关节假体人工肩关节置换术

Keywords

humeral head osteonecrosisshoulder jointreplacementpaindegenerative disease of shoulder jointartificial shoulder prosthesisartificial shoulder replacement

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