Russell—Taylor交锁髓内钉治疗肱骨干骨折

目的：评价Russell—Taylor扩髓型交锁髓内钉治疗肱骨干骨折的临床效果。方法：对26例肱骨干骨折患者采用Russell—Taylor扩髓型交锁髓内钉治疗，其中19例采用顺行髓内钉，7例采用逆行髓内钉。结果：平均随访16个月(6-24个月)，全部获骨性愈合，平均愈合时间4．7个月(3-8个月)，肩关节功能优18例，良5例，一般3例。肘关节功能优23例，良3例，1例病人出现近端交锁螺钉的肩关节撞击症状。无感染及医源性骨折和周围神经损伤等并发症。结论：Russell—Taylor扩髓型交锁髓内钉是治疗肱骨干骨折的有效方法。

Treatment of humeral shaft fractures with Russell-Taylor interlocking intramedullar nail]

OBJECTIVE: To evaluate the clinical effects of Russell-Taylor interlocking intramedullar nail (RT nail) on humeral shaft fractures. METHODS: Twenty six patients with humeral shaft fractures were treated with RT nail, of whom 19 cases were treated with antegrade RT nail and 7 cases with retrograde RT nail. RESULTS: With an average of 16 months (range 6-24 months) of follow-up, all cases acquired bony union with mean union time 4.7 months (range 3-8 months). The recovery of shoulder function was excellent in 18 cases, good in 5 cases, and fair in 3 cases. The recovery of elbow function was excellent in 23 cases and good in 3 cases. One case had shoulder impingement caused by proximal locking screw. All cases had no infection, iatrogenic fracture, and peripheral nerve injury. CONCLUSION: RT nail is an effective method for the treatment of humeral shaft fractures.