人工肩关节置换研究进展  

RESEARCH DEVELOPMENT OF SHOULDER ARTHROPLASTY

作　　者：吴昊[1] Goutallier Daniel 

机构地区：[1]广西壮族自治区人民医院骨科,南宁530021 [2]法国巴黎第12大亨利蒙多医院创伤及矫形外科

出　　处：《中国修复重建外科杂志》2015年第5期645-648,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结人工肩关节置换术式及假体演变,讨论临床常用人工肩关节置换的适应证和禁忌证以及临床疗效。方法广泛查阅复习人工肩关节置换相关文献,并进行研究和总结分析。结果目前,人工肩关节置换可分为半肩关节置换、全肩关节置换、肱骨头表面置换、无柄肩关节置换和逆向型肩关节置换等,各有相应的适应证和禁忌证。置换术后可解除肩关节疼痛、恢复肩关节抬举和外展功能,大多数假体的生存率可达到10年以上。结论人工肩关节置换术对治疗肩关节疾患、改善关节疼痛和恢复关节功能均有效,疗效满意。Objective To summarize the procedures of the shoulder arthroplasty and the evolution of the shoulder prosthesis,and to discuss the indications and contraindications of the several common shoulder arthroplastis.Methods The related literature on shoulder arthroplasty was extensively reviewed,summarized,and analyzed.Results At present,shoulder arthroplasties can be classified into shoulder hemiarthroplasty,total shoulder arthroplasty,resurfacing shoulder arthroplasty,stemless shoulder arthroplasty,and reserve shoulder arthroplasty,etc.Each type of the prosthesis has several special indications and contraindications.Mostly,the shoulder arthroplasties achieved the satisfied results,such as pain-relief and restoration of the elevation and adduction of shoulder.The survival rate of the most shoulder prostheses may reach 10 years or more.Conclusion Most shoulder arthroplasties are effective and satisfied to treat the shoulder traumas and diseases in pain-free and functional restoration of shoulders.

关 键 词：人工肩关节置换 适应证 禁忌证 假体生存率 

分 类 号：R687.4[医药卫生—骨科学]