| 逆行带锁髓内钉治疗肱骨干中下段骨折的临床观察 |
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投稿时间：2010-02-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 马天洪 |
MA Tian-hong |
成都中医药大学附属医院，四川 成都 610041 |
The Orthopaedics Hospital of Sichuan,Chengdu 610041,Sichuan,China |
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| 向明 |
XIANG Ming |
四川省骨科医院 |
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josceph_xm@sina.com |
| 邓友章 |
DENG You-zhang |
成都中医药大学附属医院，四川 成都 610041 |
The Orthopaedics Hospital of Sichuan,Chengdu 610041,Sichuan,China |
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| 黄勇 |
HUANG Yong |
成都中医药大学附属医院，四川 成都 610041 |
The Orthopaedics Hospital of Sichuan,Chengdu 610041,Sichuan,China |
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| 何洪阳 |
HE Hong-yang |
成都中医药大学附属医院，四川 成都 610041 |
The Orthopaedics Hospital of Sichuan,Chengdu 610041,Sichuan,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第9期，第657-659页 |
| DOI：10.3969/j.issn.1003-0034.2010.09.005 |
| 基金项目: |
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中文摘要:
目的：通过分析21例逆行带锁髓内钉治疗肱骨干中下段骨折的疗效，探讨治疗体会及教训。
方法：2002年10月至2005年2月采用AO逆行带锁髓内钉治疗肱骨干中下段骨折21例，新鲜骨折19例，陈旧骨折2例；肱骨中段骨折10例，下段骨折11例；男13例，女8例；平均年龄34.5岁(23～56岁).2例陈旧骨折均为不愈合，行自体植骨；5例伴桡神经损伤者行探查术。最终随访时应用Constant-Murley肩关节评分和Mayo肘关节评分评估治疗结果。
结果：21例均获随访，平均时间20.8个月(18～24个月),除1例陈旧骨折和极远端骨折外全部愈合。肩、肘关节功能除1例陈旧骨折肘关节功能一般外均较满意。Constant-Murley肩关节评分平均(83.6±13.4)分(50～97分),优12例，良5例，一般4例，差0例；Mayo肘关节评分平均(88.6±9.8)分(65～95分),优13例，良5例，一般3例，差0例。
结论：逆行带锁髓内钉是治疗肱骨中下段骨折较理想的方法，严格的手术适应证、精确的手术技术、稳定的锁定是手术成功的关键。 |
| 【关键词】肱骨骨折 骨折固定术，髓内 肘关节 |
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| Retrograde locked intramedullary nail for the treatment of middle or distal fractures of humeral shaft |
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ABSTRACT
Objective: To study therapeutic effects of retrograde locked intramedullary nail for the treatment of middle or distal fractures of humeral shaft.
Methods: From October 2002 to February 2005,21 patients with middle or distal fractures of humeral shaft were treated with AO retrograde locked intramedullary nail. Among the patients,13 patients were male and 8 patients were female,ranging in age from 23 to 56 years,with an average of 34.5 years. Nineteen patients were fresh fractures,and 2 patients were old fractures. Eleven patients had middle fractures of humeral shaft,and other 10 patients had distal fractures of humeral shaft. Two patients with old fractures were non-union and treated with autoallergic bone grafting; 5 patients combined with radial nerve injury underwent exploration. The therapeutic effects were evaluated according to Constant-Murley shoulder score and Mayo elbow score.
Results: All the patients were followed up,ranging from 18 to 24 months,with an average of 20.8 months. The fractures were healed except 1 patient with old fracture and 1 patient with extremly distal acute fracture. The shoulders and elbows had satisfactory recovery except 1 patient with old fracture. The mean Constant-Murley score was (83.6±13.4) points(50～97),12 patients got an excellent result,5 good,4 fair and no bad; the mean Mayo elbow score was (88.6±9.8)points(65～95),13 patients got an excellent result,5 good,3 fair and no bad.
Conclusion: The retrograde locked intramedullary nail offers an ideal treatment method for middle and distal fractures of humeral shaft. Strict operative indication,precise surgical techniques and stable locking are the keys to a successful treatment results. |
| KEY WORDS Humeral fractures Fracture fixation,intramedullary Elbow joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马天洪,向明,邓友章,黄勇,何洪阳.逆行带锁髓内钉治疗肱骨干中下段骨折的临床观察[J].中国骨伤,2010,23(9):657~659 |
| 英文格式: | MA Tian-hong,XIANG Ming,DENG You-zhang,HUANG Yong,HE Hong-yang.Retrograde locked intramedullary nail for the treatment of middle or distal fractures of humeral shaft[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(9):657~659 |
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