肩关节置换术后肱骨假体周围骨折的研究进展（开放获取）

Research progress in the management of periprosthetic humeral fractures secondary to shoulder arthroplasty

摘要:

肩关节置换（shoulder arthroplasty, SA）是治疗终末期肩关节疾患所致疼痛和功能障碍的有效方法。随着手术技术的成熟和发展，肩关节置换手术量呈显著增长趋势。肩关节置换术后肱骨假体周围骨折是一种罕见且严重的并发症，可导致严重疼痛、肢体功能丧失和内置物失效。肱骨假体周围骨折治疗策略包括非手术治疗、切开复位内固定和关节假体翻修技术。肩袖状态、假体类型、骨折时机、骨折类型、假体稳定性和剩余骨量都是影响假体周围骨折治疗的重要因素。本文就 SA 术后肱骨假体周围骨折的流行病学特征、骨折分型和治疗方案等方面进行综述，为临床工作提供参考。

Abstract:

Shoulder arthroplasty (SA) is an effective treatment for endstage shoulder arthrosis with pain and dysfunction. With the maturation and development of surgical techniques, the number of shoulder arthroplasty surgeries has been increasing significantly, while periprosthetic humeral fracture after SA is a rare and serious complication that can lead to severe pain, loss of limb function and prosthetic failure. Treatment strategies for the periprosthetic humeral fractures include nonoperative treatment, open reduction and internal fixation, and prosthetic revision techniques. Rotator cuff status, prosthesis type, fracture timing, fracture type, prosthesis stability, and remaining bone mass are all important factors that influence periprosthetic fracture treatment. This article makes a review of the epidemiological characteristics, fracture typing and treatment options for periprosthetic humeral fractures after SA to provide a reference for clinical work.