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远端自锁髓内针治疗肱骨干骨折
引用本文:张春林,阴彦林,杨克强,张军威,李伟,苏峰.远端自锁髓内针治疗肱骨干骨折[J].河北北方学院学报(医学版),2006,23(5):28-30.
作者姓名:张春林  阴彦林  杨克强  张军威  李伟  苏峰
作者单位:1. 河北北方学院附属第一医院骨科,河北,张家口,075000
2. 中国人民解放军第255医院骨科,河北,唐山,063000
摘    要:目的:探讨应用远端自锁髓内钉手术内固定治疗肱骨干骨折的临床疗效。方法:自2000.8~2005.12月,我们采用远端自锁髓内钉治疗肱骨干骨折38例.男性32例,女性6例;年龄19~65岁.平均36岁;其中肱骨上1/3骨折6例,中1/3骨折22例,下1/3骨折lO例;闭合伤36例,开放伤2例。采用闭合复位或小切口复位方法插入自锁钉,其中顺行插针法28例,逆行插针法10例,术后网状绷带固定2周。结果:随访25例.随访时间6~30个月,平均21个月,伤13均Ⅰ期愈合,无骨折不愈合。骨折临床愈合时间平均为12周,术后肩肘关节功能恢复良好。结论:远端自锁髓内钉操作简便,创伤小,固定可靠,并发症少,是治疗肱骨干骨折的较好方法。

关 键 词:远端自锁髓内钉  肱骨干骨折  骨折内固定
文章编号:1673-1484(2006)05-0028-03

Self-holding Bone Nail for Treating the Fracture of Shaft of Humerus
ZHANG Chun-lin, YIN Yan-lin. YANG Ke-qiang. et al.Self-holding Bone Nail for Treating the Fracture of Shaft of Humerus[J].Journal of Hebei North University:Medical Edition,2006,23(5):28-30.
Authors:ZHANG Chun-lin  YIN Yan-lin YANG Ke-qiang
Institution:Orthopedic department, The First Mfiliated Hospital, Hebei North University. Zhangjiakou,075000,Hebei, China
Abstract:Objective: To investigate the clinical results of self-holding bone nail for treating fracture of shaft of humerus.Methods: 38 cases (32 men, 6 women; 6 superior segment, 22 midpiece, 10 inferior segment; 36 close injury, 2 open injury) were selected. The diaplasis for the fracture was close or open with only a little incision, 28 with syn-drom, 10 with retrogression.Results: 25 cases were followed up for an average of 21 months, no one was found disunion, and the functional recovery of the shoulder or elbow was excellent. Conclusion: Self-holding bone nail for fracture of shaft of humerus can be operated conveniently,fix stably with less combination, so it is a better way for treatment.
Keywords:Self-holding bone nail  Fracture of shaft of humerus  Internal fixation
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