而全肩关节置换，则需要切开手术。

Total shoulder replacement, however, requires open surgery.

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结合解剖结构的分析，详细介绍了常用的肩关节前侧、外侧、后侧手术入路具体操作方法及注意事项。

On the basis of the anatomy, the article also describes the anterior, lateral and posterior approaches to the shoulder, surgical procedures and points for attention related to the approaches.

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按黄公怡肩关节评分标准进行治疗效果评估，手术组和非手术组的肩关节功能优良率分别为80 6%和75 %。

The excellent and good rates of shoulder joint function were 80 6% in operation group and 75% in conservative group according to Gongyi Huang's assessment standard.

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