[无骨水泥肩关节内翻假体的植入]。

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2025-04-01 Epub Date: 2025-03-12 DOI:10.1007/s00064-025-00891-z

H Wille, M Szakacs, J Zeichen

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引用次数: 0

摘要

目的：安全、保骨植入无骨水泥肩关节假体。适应症：肩关节炎伴肩袖退变，无进一步治疗的症状性肩袖关节病，创伤后关节炎，类风湿性关节炎，肱骨头坏死，表面假体植入后翻修手术。禁忌症：感染、腋窝神经病变、三角肌功能不全、盂中央骨质不足、盂内钉固定。手术技术：经标准三角胸侧入路植入肩关节假体。肱骨头的解剖和切除。关节盂准备，软组织释放，底板和关节盂放置。肱骨壳和内嵌体的植入。术后处理：Gilchrist绷带短期固定。随后进行早期功能康复。结果：本院已应用该手术方法治疗42例。无论是客观上还是主观上，患者术后效果良好，疼痛明显减轻。

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[Implantation of a stem- and cement-free inverted shoulder prosthesis].

Objective: Safe and bone-sparing implantation of a stem- and cement-free reversed shoulder prosthesis.

Indications: Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a surface prosthesis.

Contraindications: Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.

Surgical technique: Implantation of the shoulder prosthesis via a standard deltopectoral approach. Dissection and resection of the humeral head. Glenoid preparation, soft tissue release, baseplate and glenosphere placement. Implantation of the humeral shell and inlay.

Postoperative management: Short-term immobilization in a Gilchrist bandage. Followed by early functional rehabilitation.

Results: The surgical technique has so far been used in 42 cases in the author's clinic. Both objectively and subjectively, good postoperative results and a significant reduction in pain were observed in the patients.

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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.