摘要
肱骨干骨折是临床常见骨折之一。外固定架对骨折的固定具有灵活、可控特点,适合于开放性、感染性骨折及骨不连的治疗。外固定架治疗肱骨干骨折,其优点是手术时间短,操作简单,创伤小,减少骨折端血运破坏,便于进行调整骨折对位。缺点是固定针松动造成骨折再移位和感染的发生。内固定手术治疗的主要目的是使患肢功能快速恢复,可以避免保守治疗的并发症,能早期进行关节及上肢肌力康复训练。使用的锁定加压钢板(LCP)技术和微创经皮接骨技术(MIPPO),改善了术中骨折断端软组织和骨膜进行较大范围剥离的缺点,固定更加牢固,只需要维持骨折长度和旋转,保护骨折端血运。目前交锁髓内钉内固定已成为肱骨干骨折治疗的首选。其他髓内钉:分叉交锁髓内钉(BLIN)、旋入式自锁髓内钉、TE自锁髓内钉、可膨胀髓内钉等临床应用,相关报道均得到了良好的治疗效果。
The humeral shaft fracture is one of the common fractures in clinic.The external fixation frame has flexible and controllable characteristics for fracture fixation and is suitable for open,infectious fractures and non-union treatment.External fixator treatment of humeral shaft fractures has the advantages of short operating time,simple operation,small trauma,reduced fracture end blood transport damage,and easy to adjust fracture alignment.The disadvantage is that the loosening of the fixed needle causes fracture redisplacement and infection.The main purpose of internal fixation surgical treatment is to quickly restore the limb function,avoid complications of conservative treatment,and can perform early joint and upper limb muscle rehabilitation training.The locking compression plate(LCP)technology used and the minimally invasive percutaneous bone grafting technique(MIPPO)have improved the disadvantages of large range stripping of soft tissue and periosteum at the broken end of the bone during surgery.The fixation is more firm and requires only maintaining the length and rotation of the fracture and protecting the blood transport at the broken end of the bone.At present,interlocking intramedullary nail fixation has become the first choice for the treatment of shaft fractures.Other intramedullary nails:bifurcated interlocking intramedullary nails(BLIN),spiral self-locking intramedullary nails,TE self-locking intramedullary nails,expandable intramedullary nails and other clinical applications,the relevant reports have obtained good therapeutic results.
作者
吴兢
WU Jing(Department of Orthopaedics,Tianjin Hexi District Rehabilitation Hospital,Tianjin 300202,China)
出处
《中国城乡企业卫生》
2019年第9期62-64,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
肱骨干骨折
手术治疗
疗效分析
Humeral shaft fracture
Surgical treatment
Analysis of curative effect
