[Humeral head replacement for the complex treatment of proximal humerus XXXX ].

@entity1 @entity130 @entity158 @entity174
OBJECTIVE: To investigate indication, technical key during surgery and early results of humeral head replacement for the treatment of complicated proximal humerus @entity174 . METHODS: Sixteen @entity1 who received humeral head replacement were reviewed with a mean follow-up period of 6.8 months. Of the 16 @entity1 , 15 suffered acute @entity174 with the mean interval between injury and surgery being 8 days. 1 case was a malunion after ORIF 1 year ago. The mean age for these @entity1 were 58.9 years. @entity130 series X-rays were taken at post-operation 2-week, 6-week, 10-week, 16-week 6-month and the latest follow-up. SST (Simple Shoulder Test) questionnaire, ASES (American Shoulder _ Elbow Surgeon) score, Constant-Murley score and UCLA score had been adopted for evaluation at the latest follow-up. RESULTS: The mean ASES score was 89.1 (64 - 94); the mean VAS score was 2.7 (0 - 5); the mean forward flexion was 128.1 degrees (90 degrees - 150 degrees ), external rotation 35 degrees (30 degrees - 40 degrees ), internal rotation at T8-T9 level (L1-T6); the mean Constant-Murley score was 85.7 (53 - 95); the mean UCLA score was 30.4 (21 - 33); the mean number of questions for "yes" in SST questionnaire was 9.3 (7 - 11). The total satisfaction rate for @entity158 relief was 93.8% (15/16), and functional recovery was 87.5% (14/16). CONCLUSIONS: Through strict indication control, appropriate timing, meticulous surgical techniques and long intense rehabilitation, satisfactory results can be obtained in humeral head replacement for the treatment of complicated proximal humerus @entity174 . Our report is only a preliminary one on early results, and a long-term follow-up data is needed for further evaluation.
