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[肱骨骨折的髓内固定治疗]

[Treatment of fractures of the humerus by intramedullary fixation].

作者信息

Champetier J, Brabant A, Charignon G, Durand A, Letoublon C, Mignot P

出版信息

J Chir (Paris). 1975 Jan;109(1):75-82.

PMID:1127047
Abstract

The Hackethal's technique of intramedullaring wiring for humeral fracture represents the immobilisation procedure particularly convenient for this bone. This procedure can be realised without special instrumentation with Kirschner's wires and image intensifior. To allow the approach of the fracture, the patient's position is choosed upon the topography of the lesion. The intramedullaring wiring is always done from down to up. Indications for this procedure are: humeral shaft fracture, humeral neck fracture, and fractures of the shaft and of the neck. During the reduction of the fracture, the immoderate use of a image intensifior seams to be the major risk. Hackethal's technique for medullary wiring was used in 21 patients, only one pseudarthrosis was noted. The fonctionnal recovery of the arm is usually realised in three months.

摘要

哈克萨尔(Hackethal)治疗肱骨骨折的髓内穿线技术是一种特别适用于该骨骼的固定方法。该操作无需特殊器械,仅使用克氏针和影像增强器即可完成。为便于接近骨折部位,需根据病变部位选择患者的体位。髓内穿线总是由下向上进行。该方法的适应症包括:肱骨干骨折、肱骨颈骨折以及骨干和颈的骨折。在骨折复位过程中,过度使用影像增强器似乎是主要风险。哈克萨尔髓内穿线技术应用于21例患者,仅发现1例假关节形成。手臂的功能通常在三个月内恢复。

相似文献

1
[Treatment of fractures of the humerus by intramedullary fixation].[肱骨骨折的髓内固定治疗]
J Chir (Paris). 1975 Jan;109(1):75-82.
2
[Treatment of humeral shaft fractures using Hackethal's technique of intramedullary bundle nailing].[采用哈克萨尔髓内束状钉技术治疗肱骨干骨折]
Acta Chir Orthop Traumatol Cech. 2012;79(4):341-6.
3
[Hackethal's method of intramedullary nailing in compound cervico-diaphyseal fractures of the humerus in elderly patients].[哈克瑟尔治疗老年患者肱骨复杂性颈骨干骨折的髓内钉固定方法]
Acta Orthop Belg. 1986;52(6):743-52.
4
[Treatment of humerus diaphyseal fractures using Hackethal's retrograde centro-medullary bundle nailing: about 54 cases].[使用哈克瑟尔逆行中央髓内束钉治疗肱骨干骨折:附54例报告]
Pan Afr Med J. 2018 May 17;30:38. doi: 10.11604/pamj.2018.30.38.14589. eCollection 2018.
5
[Fractures of the humeral shaft: role of fasciculated nailing using Hackethal's method. Apropos of 129 cases].[肱骨干骨折:哈克瑟尔法束状髓内钉固定的作用。附129例报告]
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(1):13-22.
6
[Differential treatment of diaphyseal humerus fractures].[肱骨干骨折的差异化治疗]
Unfallchirurg. 1994 Dec;97(12):633-8.
7
[Management of dislocated subcapital fractures of the humerus by intramedullary wiring].[肱骨髁上骨折脱位的髓内钢丝固定治疗]
Magy Traumatol Orthop Helyreallito Seb. 1990;33(1):9-17.
8
[Fixation of the transverse humeral fracture using Hackethal's bundle nailing technic].[使用哈克萨尔束状髓内钉技术固定肱骨干横行骨折]
Arch De Vecchi Anat Patol. 1968 Dec;53(2):89-94.
9
Treatment of humeral diaphyseal fractures with Hackethal stacked nailing: a report of 33 cases.
J Orthop Trauma. 1992;6(1):14-7.
10
[Küntscher's intramedullary nailing of upper arm shaft fractures].[昆茨舍尔(Küntscher)上臂骨干骨折髓内钉固定术]
Med Welt. 1982 Nov 5;33(44):1542-4.

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