经皮顺行克氏针固定治疗肱骨近端骨折

目的：对应用经皮顺行克氏针固定治疗肱骨近端骨折的适应证、手术方法和疗效进行总结分析。方法：应用经皮顺行穿针固定治疗肱骨近端闭合骨折32例，男7例，女25例；年龄28-75岁，平均49．25岁。Neer外科颈2部分骨折20例，3部分骨折9例，4部分骨折3例。结果：32例均获随访，随访时间8-34个月，平均13．5个月。按Con—stant-Murley功能评分标准：优21例，良9例，可2例。结论：经皮顺行穿针固定治疗肱骨近端骨折，结合有计划的康复治疗，操作简单、疗效可靠。不但可用于治疗外科颈2部分骨折，而且还可选择性地应用于3、4部分骨折的治疗。

Treatment of proximal fracture of humerus by percutaneous antegrade Kirschner pinning

Objective: To summarize and analyze the clinical indication,surgical techniques and results of percutaneous antegrade Kirschner pinning in the treatment of proximal fracture of humerus. Methods: Thirty-two patients with displaced fractures of the proximal humerus were treated with 2 to 3 Kirschner wires by percutaneous antegrade transfixation. Among 32 casas,there were 7 male and 25 female,with a mean age of 49.25 years(range,from 28 to 75 years). According to the Neer fracture classification, there were 20 cases of 2-part,9 of 3-part,and 3 of 4-part fractures. Results: All patients were followed up for 8 to 34 months with an average of 13.5 months. According to Constant-Murley evaluation,the results were excellent in 21 cases,good in 9,fair in 2. Conclusion: Percutaneous antegrade transfixaton is a good technique for the management of displaced 2-part fractures of the proximal humerus and also alternative to 3-part or 4-part fractures.