摘要
目的应用防旋式髓内针固定治疗肱骨干骨折，减少术后骨折不愈合等并发症的发生率。方法2001—03开始，应用防旋式髓内针固定治疗肱骨干骨折37例，根据随访治疗结果，评价防旋式髓内针固定治疗肱骨干骨折的效果。结果随访至2004—12，37例病人术后骨折断端影像学检查无明显的旋转移位、成角移位及侧方移位，34例分别于术后6个月～1年3个月x线片骨折处有连续性骨枷，骨折线已模糊，3例病人术后7个月内，骨折处尚无连续性骨枷形成，仍在随访中。按骨折愈合的4项标准，以术后8个月骨折愈合为优，12个月为良，1年3个月为可，1年3个月骨折尚未愈合为差。对37例病人治疗进行评价，其中，优20例，54％；良11例，29．7％；可1例，2．7％，3例术后7个月内，仍在随访中疗效尚不能确定。结论防旋式髓内针固定治疗肱骨干骨折，可有效防止骨折不愈合等并发症的发生。
Objective To discuss the treatment of fracture of shaft of humerus with anti - revolved bone nail to reduce the ununion and complication. Methods The anti - revolved bone nail were used in 37 cases from March of 2001. The curative effect was assessed with follow- up. Results 37 cases had no spiral, angulation, and side displacement until December 2004. 34 cases had shown continuous bony callus with obscured fracture line. 3 cases were within 7 months. According to the standard, there were 20 cases of excellent, 11 cases good and 1 case healed. Other 3 cases were uncertain within 7 months. Conclusion The anti - revolved bone nail might prevent the ununion and complication with good curative effect.
出处
《黑龙江医学》
2006年第3期195-196,共2页
Heilongjiang Medical Journal
关键词
骨外科学
防旋式髓内针
肱骨干骨折
骨折不愈合
Bone surgery
Anti - revolved bone nail
Facture of shaft of humerus
Ununion
