Objective To investigate the clinical effect of humeral head replacement and rotator cuff reconstruction with anchor suture for Neer four-part of proximal humerus fractures in the elderly Methods The 34 elderly patients with Neer four-part proximal humerus fractures were treated with humerus head replacement combined with anchor su-ture reconstruction of rotator cuff.The operative status and shoulder joint motion of the last follow-up were recorded.The shoulder joint function was evaluated by Neer score.Results All patients were followed up for 6～18 months.Postoperative radiographs showed that 34 cases of humerus head prostheses were in good position,and shoulder joint correspondences were good.Six months after operation,radiographs showed that 28 cases of greater and lesser tubercle callus were formed.There was no callus formation in 6 cases of greater and lesser tubercles,which were considered to be related to the older age of the patients and osteoporosis.At the last follow-up,the shoulder joint function was evalu-ated by Neer score:12 cases were excellent,19 cases were good,3 cases fair,the excellent and good rate was 91.18%.In 34 cases,the humeral head prostheses were in good position,the shoulder joint corresponded well,and the greater and lesser tubercles were all healed.The shoulder joint activity:anterior flexion was 84°～110°(97°±13°);the internal-rotation was68°～86°(77°±9°),external-rotation was60°～70°(65°±5°)at horizontal position.Con-clusions Humerus head replacement combined with anchor suture reconstruction of rotator cuff are safe and effective surgical method for the treatment of Neer four-part proximal humerus fractures.
proximal humerus fracturesartificial humerus head replacementanchor suturerotator cuff reconstruc-tionaged
维普
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