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髓内扩张自锁钉治疗肱骨干骨折 被引量:10

The intramedullary expanded self-locking nail for the treatment of humeral fracture
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摘要 目的观察髓内扩张自锁钉治疗肱骨干骨折的临床应用效果.方法采用开放置入髓内钉固定治疗26例肱骨干骨折.结果经7~26个月随访,骨折全部愈合.按Imatani标准评分,优20例,良4例,可2例.结论髓内扩张自锁钉治疗肱骨干骨折固定可靠,不需X线监视.大部分病例不需扩髓,对局部血运破坏小,可早期功能锻炼. Objective To observe the clinical effect of intramedullary expanded self-locking nail (IESN) for the treatment of humeral fracture. Methods 26 cases of humeral fracture were treated with open reduction and IESN fixation. Results All cases were followed up for 7 -26 months. All got bony healing. According to Imatani scoring system, the results were excellent in 20 cases, good in 4, and fair in 2. Conclusions IESN for the treatment of humeral fracture can provide rigid fixation without fluoroscopy monitoring. Reaming can be avoided in most cases, which compromises less vascular support and permits early rehabilitation exercises.
出处 《临床骨科杂志》 2005年第4期362-363,共2页 Journal of Clinical Orthopaedics
关键词 肱骨骨折 骨折固定术 髓内 humeral fractures fracture fixation, intramedullary
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  • 1Krettek C,Schandelmaier P,Tscherne H.Nonreamed interlockingnailing of closed tibial fractures with severe soft tissue injury[].Clinical Orthopaedics.1995
  • 2Lin J,Hou SM.Antegrade locked nailing for humeral shaft fractures[].Clinical Orthopaedics.1999
  • 3Crates J,Whittle AP.Antegrade interlocking nailing of acute humeral shaft fractures[].Clinical Orthopaedics.1998
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  • 5Modabber MR,Jupiter JB.Operative management of diaphyseal fractures of the humerus: plate versus nail[].Clinical Orthopaedics.1998
  • 6Foulk DA,Szabo RM.Diaphyseal humerus fractures: Natural history and occurrence of nonunion[].Orthopedics.1995

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