闭合复位带锁髓内钉固定治疗肱骨干骨折

目的：探讨闭合复位带锁髓内钉固定治疗肱骨干骨折的方法与疗效。方法：本组38例，男23例，女15例；年龄：26～65岁，平均年龄42岁；按骨折部位：上1／3骨折8例，中1／3骨折2l例，中下1／3骨折9例；按骨折类型：横断形骨折10例，螺旋形骨折骨折5例，粉碎性骨折16例，斜形骨折7例，均为闭合性损伤；致伤原因：摔伤24例，交通事故9例。高处坠落伤5例。均采用闭合复位带锁髓内钉固定术治疗。结果：本组38例均获随访，随访时间8个月～19个月，平均随访时间13个月，均临床愈合。依据疗效评定标准：优18例，良19例，可1例，差0例。结论：运用闭合复位带锁髓内钉固定治疗肱骨干骨折，符合现代骨科微创观念，术后疗效确切，可在具备有C臂机的基层医疗单位推广运用。

Treating humeral shaft fractures by closed reduction and intramedullary nail

Objective： To investigate the method and effect of treating humeral shaft fractures by closed reduction and intramedullary nail. Methods： Among 38 cases, 23 were males, 25 were females; Age： 26-65 years, the average age were 42 years; Fracture site： The first 1/3 of fractures were 8 cases, middle 1/3 of fractures were 21 cases, lower 1/3 of fractures were 9 cases; Fracture type： 10 cases were tansverse fracture, 5 cases were spiral fracture, 16 cases were comminuted fracture, 7 cases were oblique fracture, both them were blunt trauma; Cause： 24 cases were crash, 9 were traffic accident, 5 cases were fall from high places. To treat them by losed reduction and intramedullary nail. Results： Among 38 cases, the follow-up time were 8-9 months, the average follow-up time were 13 months, among 38 cases healing. Based on the evaluation standard： 18 cases were excellent, 19 cases were good, 1 case was possible. Conclusion： Treating humeral shaft fractures by closed reduction and intramedullary nail get a good result, that is promote the use of medical units.