柳 昱(Liu Yu，Dept Orthop，Gangwan Hosp Affil Guangzhou Med Univ，Guangzhou，Guangdong)…∥Chin J Clin Basic Orthop Res.－2010，2(3).－221～225

Humeral head replacement and individualized rehabilitation for displaced four-part fractures of proximal huerus

柳 昱(Liu Yu，Dept Orthop，Gangwan Hosp Affil Guangzhou Med Univ，Guangzhou，Guangdong)…∥Chin J Clin Basic Orthop Res.－2010，2(3).－221～225

ObjectiveTo investigate the clinical outcome of humeral head replacement and individualized rehabilitation for displaced four-part fractures of proximal humerus，to provide clinical guideline of treating complicated fractures of proximal humerus at the basic level hospitals.MethodsNine patients with displaced four-part fractures of the proximal humerus were treated by artificial humeral head replacement with postoperative individualized rehabilitation.Clinical results were evaluated according to the Constant scores.ResultsAll cases were followed-up from 5 to 24 months(average 15.4 months).Constant scores at the last follow-up improved from 14.5 ± 6.5 to 80.5 ± 5.6.ConclusionHumeral head replacement and individualized rehabilitation for displaced four-part fractures of proximal humerus is an effective therapy for complex fractures of proximal humerus.20 refs，2 figs.

(Authors)