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[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.

PMID:12934366
Abstract

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.

摘要

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。

相似文献

1
[Treatment of humeral shaft fractures with Russell-Taylor interlocking intramedullar nail].[使用Russell-Taylor交锁髓内钉治疗肱骨干骨折]
Hunan Yi Ke Da Xue Xue Bao. 2003 Apr;28(2):159-61.
2
[Modified retrograde rotative-type interlocking intramedullary nail for humeral shaft fractures].[改良逆行旋转式交锁髓内钉治疗肱骨干骨折]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Jul;25(7):811-5.
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[Retrograde locked intramedullary nail for the treatment of middle or distal fractures of humeral shaft].逆行交锁髓内钉治疗肱骨干中下段骨折
Zhongguo Gu Shang. 2010 Sep;23(9):657-9.
4
[Comparative study of antegrade and retrograde intramedullary nailing for the treatment of humeral shaft fractures].顺行与逆行髓内钉治疗肱骨干骨折的对比研究
Zhongguo Gu Shang. 2009 Mar;22(3):199-201.
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[Comparison of the results of the treatment of humeral shaft fractures with antegrade locked intramedullary nailing and retrograde locked intramedullary nailing].顺行交锁髓内钉与逆行交锁髓内钉治疗肱骨干骨折的疗效比较
Zhonghua Yi Xue Za Zhi. 2007 Apr 3;87(13):902-5.
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[Long PHILOS locking compression plate for treatment of proximal humerus and humeral shaft fractures].[应用长型PHILOS锁定加压钢板治疗肱骨近端和肱骨干骨折]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009 Apr;23(4):419-22.
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[Application of auto-control micro-motion intramedullary locking nail in the treatment of femoral shaft fractures].自控微动髓内锁定钉在股骨干骨折治疗中的应用
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008 Jun;22(6):696-9.
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[Treatment of mid-distal humeral shaft fractures associated with radial nerve palsysis by minimally invasive screwed nails osteosynthesis technique].[微创螺钉内固定技术治疗合并桡神经麻痹的肱骨干中下段骨折]
Zhongguo Gu Shang. 2009 Jul;22(7):515-7.
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Marchetti-Vicenzi nailing of humeral shaft fractures.肱骨干骨折的马尔凯蒂-维琴齐髓内钉固定术
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[A comparisive study between intramedullary interlocking nail and plate-screw fixation in the treatment of tibial shaft fractures].[交锁髓内钉与钢板螺钉内固定治疗胫骨干骨折的对比研究]
Zhongguo Gu Shang. 2008 Apr;21(4):261-3.

引用本文的文献

1
Humeral shaft fracture: systematic review of non-operative and operative treatment.肱骨干骨折:非手术和手术治疗的系统评价。
Arch Orthop Trauma Surg. 2023 Aug;143(8):5035-5054. doi: 10.1007/s00402-023-04836-8. Epub 2023 Apr 24.