闭合复位带锁髓内钉固定治疗肱骨干骨折 |
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引用本文: | 胡敏,刘青松,龙隆. 闭合复位带锁髓内钉固定治疗肱骨干骨折[J]. 中医临床研究, 2010, 2(14): 65-65,67 |
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作者姓名: | 胡敏 刘青松 龙隆 |
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作者单位: | 江西宜丰县中医院,江西,宜春,336300 |
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摘 要: | 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。
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关 键 词: | 肱骨干骨折 闭合复位 带锁髓内钉固定 |
Treating humeral shaft fractures by closed reduction and intramedullary nail |
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Abstract: | 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. |
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Keywords: | Humeral shaft fractures Closed reduction Interlocking intramedullary nailing |
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