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肱骨上端骨折的盲目穿针手术治疗(作者译)

[The surgical treatment of fractures of the upper end of the humerus by blind pinning (author's transl)].

作者信息

Bombart M, Moulin A, Danan J P, Alperovitch R

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1978 Apr-May;64(3):221-30.

PMID:150627
Abstract

During a period of five years, the authors have treated 250 fractures of the upper end of the humerus. Fifty-one were treated by blind pinning. Six to eight Kirschner wires are passed up to the head of the humerus under X-ray control through a hole made on the posterior aspect of the lower end of the humerus just above the olecranon fossa. The functional results were satisfactory in 70% of cases. The indications for pinning were for severely displaced fractures, comminuted fractures, either impacted or not, or slipping of the upper humeral epiphysis. The results were less satisfactory in cases with an elevated greater tuberosity. The technique cannot be applied to fracture-dislocations.

摘要

在五年期间,作者治疗了250例肱骨上端骨折。51例采用盲目穿针治疗。在X线控制下,通过在肱骨下端鹰嘴窝上方后侧制造的一个孔,将6至8根克氏针穿至肱骨头部。70%的病例功能结果令人满意。穿针的适应证为严重移位骨折、粉碎性骨折(无论有无嵌插)或肱骨上端骨骺滑脱。在大结节抬高的病例中结果不太令人满意。该技术不适用于骨折脱位。

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Rev Chir Orthop Reparatrice Appar Mot. 1978 Apr-May;64(3):221-30.
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引用本文的文献

1
[Treatment of unstable fractures of the proximal end of the humerus using elastic curved intramedullary wires].
Unfallchirurgie. 1987 Apr;13(2):72-81. doi: 10.1007/BF02585984.
2
Surgical treatment of malignant secondary tumors of the humerus: report of 45 cases.
Arch Orthop Trauma Surg (1978). 1979 Sep;94(4):293-8. doi: 10.1007/BF00383412.