逆向型人工全肩关节置换研究进展  

RESEARCH DEVELOPMENT OF REVERSE TOTAL SHOULDER ARTHROPLASTY

作　　者：吴昊[1] Goutallier Danial 

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大学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7期905-911,共7页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结逆向型人工全肩关节置换的发展及临床应用。方法广泛复习逆向型人工全肩关节置换的相关文献研究,并总结分析。结果逆向型人工全肩关节置换手术适应证广,主要用于治疗无法修复的肩袖撕裂造成的肩关节假性麻痹,肱骨头向前或向上偏移而三角肌功能完整者。临床研究表明,其近期疗效较好,肩胛盂切痕、关节失稳及关节内外旋转受限是其特殊并发症。采用该术式应注意手术入路的选择、确定假体旋转中心以及对伴骨缺损者行肩胛盂及肱骨近端植骨。结论逆向型人工全肩关节置换临床应用时间尚短,远期疗效有待进一步观察明确。另外,随着计算机辅助技术在置换术中的应用,有望进一步提高手术疗效。Objective To investigate the development and clinical application of the reverse total shoulder arthroplasty. Methods The relative publications on reverse total shoulder arthroplasties were extensively reviewed and analyzed. Results Reverse total shoulder arthroplasty has extensive indications, especially for pseudoparalysis caused by irrepairable rotator cuff tears with forward or upper shift of the humeral head and intact function of deltoid. The clinical research results indicate that the short-term results are satisfactory, but there are some special complications, such as scapular nothching, instability and limities of internal and external rotation. While performing this kind of operation, the selection of the approach, the determination of the prosthetic rotation center should be considered well, and the bone graft should be paid attention to when the bony defect of the glenoid and proximal humerus exists. Conclusion The using time of the reverse total shoulder arthroplasty is short, so the long-term results should be observed. The development of computer assisted technique is hopeful to be improve the results of the reverse total shoulder arthroplasty.

关 键 词：逆向型人工全肩关节置换 适应证 禁忌证 

分 类 号：R687.4[医药卫生—骨科学]