[1]李景伟,周治国,张英剑,等.逆行交锁髓内钉治疗肱骨中下段骨折疗效观察[J].医学信息,2018,31(01):10-12.[doi:10.3969/j.issn.1006-1959.2018.01.004]
　LI Jing-wei,ZHOU Zhi-guo,ZHANG Ying-jian,et al.Therapeutic Effect of Retrograde Interlocking Intramedullary Nail in the Treatment ofMiddle and Distal Humerus Fractures[J].Medical Information,2018,31(01):10-12.[doi:10.3969/j.issn.1006-1959.2018.01.004]
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逆行交锁髓内钉治疗肱骨中下段骨折疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年01期
页码:
10-12
栏目:
出版日期:
2018-01-01

文章信息/Info

Title:
Therapeutic Effect of Retrograde Interlocking Intramedullary Nail in the Treatment ofMiddle and Distal Humerus Fractures
文章编号:
1006-1959（2018）01-0010-03
作者:
李景伟; 周治国; 张英剑; 商福青; 孙长青
天津市宝坻区人民医，天津301800
Author(s):
LI Jing-wei; ZHOU Zhi-guo; ZHANG Ying-jian; SHANG Fu-qing; SUN Chang-qing
Tianjin Baodi District People’s Hospital,Tianjin 301800,China
关键词:
肱骨中下段骨折; 骨折固定; 交锁髓内钉; 闭合复位
Keywords:
Key words：Middle and lower humerus fractures; Fracture fixation; Interlocking intramedullary nail; Closed reduction
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2018.01.004
文献标志码:
A
摘要:
目的评价应用闭合复位逆行交锁髓钉内固定治疗肱骨中下段骨折的临床效果，观察患者术后肩肘关节恢复情况遥方法分析我2010 年1 月~2017 年8 月47 例肱骨中下段骨折采用闭合复位逆行交锁髓钉内固定治疗患者，按AO 骨折分型A 型20 例，B 型15 例，C 型12 例，术后早期行肩肘关节功能锻炼遥结果45 例患者获8~23 y（平均15 y）随访，骨折全部愈合，肩尧肘关节功能良好遥骨折临床愈合时间14 w，无切口感染尧骨折不愈合及内固定断裂等并发症遥结论闭合复位逆行交锁髓钉内固定治疗肱骨中下段骨折具有手术操作简单尧创伤小尧手术时间短尧出血少，不损伤肩袖，肩肘关节功能恢复满意，是治疗肱骨中下段骨折的一种理想方法遥
Abstract:
Abstract：Objective To evaluate the clinical effect of closed reduction, retrograde interlocking intramedullary nailing in the treatmentof fractures of the middle and lower humerus and to observe the postoperative recovery of shoulder and elbow joints.MethodsAnalysis of 47 cases of middle and lower humeral fractures in our hospital from January 2010 to August 2017 treated with closedreduction and retrograde interlocking nail fixation. According to AO fracture type,20 cases were type A,15 cases were type B,and 12cases were type C,postoperative early shoulder elbow functional exercise.Results 45 patients were followed up in 8 ~23 y (average is15 y).The fractures healed completely and the function of shoulder and elbow was good.Clinical fracture healing time is 14 w,noincision infection,fracture nonunion or internal fixation fracture and other complications.Conclusion Closed reduction and retrogradeinterlocking nailing in the treatment of middle and distal humerus fractures with simple operation,less trauma,shorter operative time,less bleeding,no damage to the rotator cuff,satisfactory shoulder and elbow joint functional recovery,a ideal treatment of fractures ofthe middle and lower humerus fracture.

参考文献/References:

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更新日期/Last Update: 2018-01-22