Diémé C B, Abalo A, Sané A D, Fall D, Dakouré P W, Ndiaye A, Seye S I L
Service de chirurgie orthopédique et traumatologie, hôpital Aristide-Le-Dantec, Dakar, Sénégal.
Chir Main. 2005 Apr;24(2):92-8. doi: 10.1016/j.main.2005.01.006.
Many methods have been proposed for treatment of displaced humeral shaft fractures in adults. This study was designed to evaluate the anatomical and functional results of patients treated by retrograde intramedullary nailing through the lateral condyle.
Sixty-three fresh traumatic fractures of the humerus were treated between January 2000 and January 2003. Five patients were lost to follow-up. The AO classification and the Hackethal classification modified by De La Caffinière were used. Outcome was assessed according to the modified Stewart and Hundey classification.
We had 23 very good results, 26 good results, five passable results and four bad results. The bad results were three cases of non-union and one case with poor function (stiffness of elbow and shoulder). Mean delay to union was ten weeks four days. There were no cases of iatrogenic radial nerve palsy or pin migration.
Retrograde intramedullary nailing is a reliable method, easy to perform and of low economic cost. We propose it for all types of displaced shaft humeral fractures.
已提出多种治疗成人肱骨干移位骨折的方法。本研究旨在评估经外侧髁逆行髓内钉固定治疗患者的解剖学和功能结果。
2000年1月至2003年1月期间治疗了63例新鲜创伤性肱骨骨折。5例患者失访。采用AO分类法以及经德拉卡菲尼埃修改的哈克塔尔分类法。根据改良的斯图尔特和亨迪分类法评估结果。
我们获得23例非常好的结果、26例好的结果、5例尚可的结果和4例差的结果。差的结果包括3例骨不连和1例功能差（肘关节和肩关节僵硬）。平均骨愈合延迟时间为10周零4天。没有医源性桡神经麻痹或髓内钉移位的病例。
逆行髓内钉固定是一种可靠的方法，操作简便且成本低廉。我们建议将其用于所有类型的肱骨干移位骨折。
