摘要
目的 探讨肱骨逆行自身交锁钉生物固定的临床应用价值。方法 采用自身交锁髓内钉治疗 15例肱骨骨折患者 ,其中逆行交锁 10例 ,顺行交锁 5例。术后指导功能锻炼 ,定期摄X线片复查 ,按日常生活、疼痛、肩肘关节功能和骨折愈合作临床评估。结果 随访 12例 ,时间 3～ 19个月 ,平均8个月 ,骨折均愈合 ,平均愈合时间 3～ 6个月。肩关节功能 :优 8例 ,良 3例 ,可 1例。结论 肱骨逆行自身交锁钉符合生物固定要求 。
Objective To evaluate the clinical significance of biological osteosynthesis of retrograde self locked nail for humeral fracture. Methods 15 Cases of humeral fracture were treated with self locked nail (retrograde nail 10 cases and antegarde nail 5 cases). Functional exercise was advised after operation and X ray examination were given periodically. Clinically evaluations were made on daily life, pain, function of shoulder and elbow joint and fracture union. Results 12 cases were followed up for an average period of 8 months (3～19 months). All fractures were united. An average time of union is 3 to 6 months. The shoulder joint function is excellent in 8 cases, good in 3 cases and fair in 1 cases. Conclusion Self locked nailing is an ideal new technique for humeral fractures, which corresponds with demands of biological osteosynthesis.
出处
《临床骨科杂志》
2003年第2期132-134,共3页
Journal of Clinical Orthopaedics
关键词
肱骨骨折
自身交锁钉
生物内固定
humeral fractures
self locked nail
biological osteosynthesis
