Intramedullary fixation of humeral shaft fractures.
Intramedullary fixation of humeral shaft fractures.
复制标题
肱骨干骨折的髓内固定。
DOI：
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发表时间：
1984
期刊：
影响因子：
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通讯作者：
J. K. Kreig
中科院分区：
文献类型：
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作者：
P. Stern;D. Mattingly;D. Pomeroy;E. J. Zenni;J. K. Kreig
在这篇文章中，我们记录了1970年至1981年间采用髓内固定治疗的70例肱骨干骨折。47例（67%）骨折发生并发症，45例（64%）至少需要一次额外的手术。在伤后6周内进行内固定的60例骨折中，9例（15%）延迟愈合，5例（8.3%）不愈合，其中2例尽管随后进行了手术，但仍持续存在。受伤后六周内固定的10例骨折中有3例从未愈合，尽管进行了额外的手术以确保愈合。延迟愈合和不愈合在开放性骨折（33%）中比闭合性骨折（21%）更常见，开放性骨折（39%）比闭合性或所谓的半开放性骨折（9%）更常见。深部感染发生在三个（5%）的骨折，更常见于开放性骨折（17%）比闭合性骨折（2%）。三个开放性骨折，立即固定治疗之一成为感染，相比之下，只有一个9开放性骨折治疗延迟固定。34例（56%）采用远端导向针治疗骨折的患者发生疼痛性粘连性肩关节囊炎，但9例采用近端导向针治疗骨折的患者肘手肘活动不受限制。
In this paper we document seventy fractures of the humeral shaft that were treated by intramedullary fixation between 1970 and 1981. Complications developed in forty-seven (67 per cent) of the fractures, and forty-five (64 per cent) required at least one additional operative procedure. Of the sixty fractures that were internally fixed within six weeks after injury, nine (15 per cent) had a delayed union and five (8.3 per cent) had a non-union, two of which persisted despite subsequent surgery. Three of the ten fractures that were internally fixed more than six weeks after injury never united despite additional procedures that were done to secure union. Delayed union and non-union were more common in open fractures (33 per cent) than in closed fractures (21 per cent), and with open reduction (39 per cent) than with closed or so-called semi-open reduction (9 per cent). Deep infection occurred in three (5 per cent) of the fractures and was more common in open (17 per cent) than in closed fractures (2 per cent). One of the three open fractures that were treated by immediate fixation became infected, as compared with only one of the nine open fractures treated by delayed fixation. Painful adhesive capsulitis of the shoulder developed in thirty-four (56 per cent) of the patients who had fractures treated with distally directed pins, but motion of the elbow was not restricted in the nine patients with fractures treated with proximally directed pins.