[使用Russell-Taylor交锁髓内钉治疗肱骨干骨折]
[Treatment of humeral shaft fractures with Russell-Taylor interlocking intramedullar nail].
作者信息
Ni Jiang-dong, Tan Jin, Dong Zhong-gen
机构信息
Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
出版信息
Hunan Yi Ke Da Xue Xue Bao. 2003 Apr;28(2):159-61.
OBJECTIVE
To evaluate the clinical effects of Russell-Taylor interlocking intramedullar nail (RT nail) on humeral shaft fractures.
METHODS
Twenty six patients with humeral shaft fractures were treated with RT nail, of whom 19 cases were treated with antegrade RT nail and 7 cases with retrograde RT nail.
RESULTS
With an average of 16 months (range 6-24 months) of follow-up, all cases acquired bony union with mean union time 4.7 months (range 3-8 months). The recovery of shoulder function was excellent in 18 cases, good in 5 cases, and fair in 3 cases. The recovery of elbow function was excellent in 23 cases and good in 3 cases. One case had shoulder impingement caused by proximal locking screw. All cases had no infection, iatrogenic fracture, and peripheral nerve injury.
CONCLUSION
RT nail is an effective method for the treatment of humeral shaft fractures.
目的
评估Russell-Taylor交锁髓内钉（RT钉）治疗肱骨干骨折的临床效果。
方法
26例肱骨干骨折患者采用RT钉治疗，其中19例采用顺行RT钉治疗，7例采用逆行RT钉治疗。
结果
平均随访16个月（6-24个月），所有病例均获得骨性愈合，平均愈合时间4.7个月（3-8个月）。肩部功能恢复优18例，良5例，可3例。肘部功能恢复优23例，良3例。1例因近端锁定螺钉导致肩部撞击。所有病例均无感染、医源性骨折及周围神经损伤。
结论
RT钉是治疗肱骨干骨折的有效方法。
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