{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T21:58:52Z","timestamp":1766181532828,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T00:00:00Z","timestamp":1609804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the outcomes of humeral head replacement in the treatment of patients with comminuted proximal humeral fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2013 and September 2016, 56 patients underwent humeral head replacement in our hospital. Of them, 18 cases were diagnosed as comminuted proximal humeral fracture before the operation. The mean age of the patients was 69.5\u2009years old (ranging from 61 to 79\u2009years old). Of them, there were six males and 12 females. All the patients in this group had fresh fractures. They were all treated by artificial humeral head replacements. After the prosthesis was fixed by bone cement reliably, the greater or lesser trochanter and prosthesis handle were sutured and fixed firmly. The interval time from injury to operation ranged from 1 to 5\u2009days. The Constant Functional Score, operation time, blood loss, nerve injury, joint dislocation rate, and infection rate were recorded at the final follow\u2010up. The clinical data of these patients were retrospectively studied. All of the data were recorded in average form.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this study, the mean duration of follow\u2010up was 4\u2009years, ranging from 3 to 6\u2009years. The operation time ranged from 75 to 120\u2009min, with the average of 82\u2009min. The blood loss ranged from 100 to 400\u2009mL, with the average of 210\u2009mL. The mean score of Constant Functional Score was 83.5\u2009\u00b1\u20093.1. Of them, 14 cases achieved excellent and good (scores of more than 80), and four cases achieved moderate and poor (scores of less than 80). No patient suffered from joint dislocation, unstable joint, or infection after the operation. There were two patients with axillary nerve injury before the operation. However, the function could be recovered within 3\u20136\u2009weeks after the surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The artificial humeral head replacement could be applied for the treatment of patients with comminuted proximal humeral fracture. During the surgery process, the stable structure of shoulder joint could be completely restructured, and the rehabilitation plan should be adjusted reasonably and timely after the operation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12732","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T22:49:47Z","timestamp":1609973387000},"page":"28-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Humeral Head Replacement in the Treatment of Comminuted Proximal Humeral Fracture"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8210-7156","authenticated-orcid":false,"given":"Xinghuo","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine of Beijing Luhe Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine of Beijing Luhe Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine of Beijing Luhe Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine of Beijing Luhe Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenhao","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine of Beijing Luhe Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052060-00001"},{"key":"e_1_2_5_3_1","first-page":"363","article-title":"Outcome after treatment of proximal humeral fractures with humeral head replacement","volume":"54","author":"Kwon YW","year":"2005","journal-title":"Instr Course Lect"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.03.030"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.030"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.10.038"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20130624-21"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.06.035"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-005-1120-8"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.09.027"},{"key":"e_1_2_5_11_1","unstructured":"SperlingJW CofieldRH RowlandCM. Minimum 15 year follow\u2010up of Neer hemiarthroplasty and total shoulder arthroplasty in patients fifty years old and less. Presented at the American Academy of Orthopaedic Surgeons Annual Meeting February 5 2003; New Orleans LA."},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.09.006"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.06.015"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06178.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2008.09.002"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2011.01.004"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2006.11.002"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.09.012"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.08.003"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(05)80059-X"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2006.11.011"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.10.017"},{"key":"e_1_2_5_23_1","doi-asserted-by":"crossref","unstructured":"van deWaterATM DavidsonM ShieldsN EvansMC TaylorNF.The Shoulder Function Index (SFInX): evaluation of its measurement properties in people recovering from a proximal humeral fracture.BMC Musculoskelet Disord 2016 17:295.","DOI":"10.1186\/s12891-016-1138-0"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.06.022"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12732","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.12732","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12732","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T06:34:04Z","timestamp":1693636444000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,5]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/os.12732"],"URL":"https:\/\/doi.org\/10.1111\/os.12732","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"type":"print","value":"1757-7853"},{"type":"electronic","value":"1757-7861"}],"subject":[],"published":{"date-parts":[[2021,1,5]]},"assertion":[{"value":"2020-05-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}