反向肩关节置换术治疗肱骨近端骨折:当前证据综述。

IF 2.9 2区 医学 Q1 ORTHOPEDICS
Jose Carlos Minarro, Joaquin Sanchez-Sotelo
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引用次数: 0

摘要

综述目的:本综述旨在总结近期同行评议文献中发表的有关反向肩关节置换术(RSA)治疗肱骨近端骨折的信息:尽管对于某些年龄段的肱骨近端骨折来说,哪种治疗方法最好仍存在争议,但对于老年患者来说,RSA似乎比其他手术治疗方法更能预测结果。结节愈合成功似乎与更好的治疗效果相关。最近的趋势表明,无骨水泥固定、骨折专用骨干和135度聚乙烯开口角受到了关注。RSA 为选定的肱骨近端骨折提供了一种成功的手术解决方案。在过去几年中,适应症、设计特点和手术执行方式都在不断发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: A Review of Current Evidence.

Purpose of review: The aim of this review is to summarize information published in the recent peer-reviewed literature on reverse shoulder arthroplasty (RSA) for proximal humerus fractures.

Recent findings: Although there is still some debate regarding which may be the best treatment for proximal humerus fractures in certain age ranges, RSA seems to offer more predictable results than other surgical treatments for elderly patients. Successful tuberosity healing seems to correlate with better outcomes. Recent trends indicate interest in cementless fixation, fracture-specific stems and a 135-degree polyethylene opening angle. RSA provides a successful surgical solution for selected proximal humerus fractures. Indications, design features, and surgical execution have continued to evolve over the last few years.

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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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