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联合应用分叉状髓内钉和环抱片治疗肱骨大段劈裂、粉碎骨折

Use of intramedullar interloking nail and endless belt in the humeral fractures
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摘要 目的 探讨分叉状髓内钉和环抱片治疗肱骨大段劈裂、粉碎骨折的疗效。方法 通过肱骨大段劈裂、粉碎骨折采用分叉状髓内钉加环抱片固定后的临床疗效分析 ,综合评价该手术方式的优越性。结果  1 9例 2 5侧肱骨粉碎骨折患者 ,平均随访1 1个月 ,骨折均愈合 ,优良 1 8例 2 4侧 ,1例延迟愈合 ,优良率为 96 %。结论 既往的肱骨大段劈裂骨折是手术的相对禁忌症 ,然而通过联合应用分叉状髓内钉和环抱片 ,肱骨大段劈裂、粉碎骨折可以达到牢固的固定和满意的疗效 。 Objective To observe the clinical use of intramedullar interlocking nail in the treatment of humeral comminuted fracture.Methods Through the analysis of clinical effects after the use of the intramedullar interlocking nail in the treatment of 19 cases humeral comminuted fracture,we could evaluate the superiority of such kind of operation.Results Of the 19 patients underwent the described procedure and follow up for a mean of 11months,eighteen have obtained satisfying results,one patient delated healing.Conclusion In the past,the humeral comminuted fracture was considered to be relative contradication.But the method of intramedullar interlocking nail was found to be effectively in the treatment of humeral comminuted fracture.We have obtained stable fixation and good result through this method in the humeral comminuted fracture.It is worth to be further applied.
出处 《重庆医学》 CAS CSCD 2004年第8期1203-1205,共3页 Chongqing medicine
关键词 骨折 骨折愈俣 内固定器 fracture fracture healing internal fixators
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