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用 Küntscher 髓内扩髓及髓内钉固定治疗肱骨骨不连

Küntscher intramedullary reaming and nail fixation for nonunion of the humerus.

作者信息

Christensen N O

出版信息

Clin Orthop Relat Res. 1976 May(116):222-5.

PMID:1277645
Abstract

Thirteen cases of nonunion of the humerus were treated by intramedullary reaming and nail fixation. Rigid stabilization which was usual after operating upon other long bones was not always secured in these cases, and supplementary plaster immobilization was necessary. Seven fractures healed and 3 fractures required re-nailing before healing. Three fractures did not heal in spite of reoperation, but in 2 of these cases the nail provided stability and controlled pain and motion at fracture site. Nonunion of the humerus is a difficult problem, irrespective of the method of treatment.

摘要

13例肱骨干骨折不愈合患者采用髓腔扩髓及髓内钉固定治疗。在其他长骨手术后通常采用的坚强固定,在这些病例中并不总是能够实现,因此需要辅助石膏固定。7例骨折愈合,3例骨折在愈合前需要再次置入髓内钉。尽管再次手术,仍有3例骨折未愈合,但其中2例髓内钉提供了稳定性,并控制了骨折部位的疼痛和活动。无论采用何种治疗方法,肱骨干骨折不愈合都是一个难题。

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引用本文的文献

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Hypertrophic nonunion humerus mimicking an enchondroma.
Case Rep Orthop. 2014;2014:854349. doi: 10.1155/2014/854349. Epub 2014 Nov 30.
2
Internal fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail: A prospective study.动力加压钢板或髓内钉治疗肱骨干骨折的内固定:一项前瞻性研究。
Indian J Orthop. 2007 Jul;41(3):214-8. doi: 10.4103/0019-5413.33685.