Gayet L E, Muller A, Pries P, Merienne J F, Brax P, Soyer J, Clarac J P
Service d'Orthopédie-Traumatologie adulte et infantile, Hôpital Jean Bernard, C.H.R.U. de la Milétrie, Poitiers.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(1):13-22.
This retrospective study was based on 141 diaphyseal fractures of the humerus, treated by Hackethal fasciculated pinning, among 371 fractures followed up during 10 years in our department. There were six preoperative radial paralyses. The mean consolidation delay was 65 days. Six fractures did not unite and there was no sepsis. The only immediate neurological postoperative complication was a regressive cubital paralysis. 72 fractures could be followed-up with a mean of 4 years, to establish a functional result chart. 94.4 per cent of the results were good and very good, 2 shoulder stiffness and only one elbow stiffness. The displaced fractures of the humeral diaphysis on D2 to D5 zones, as well as pathological fractures are good indications for Hackethal fasciculated pinning.
本回顾性研究基于我科10年间随访的371例骨折患者中的141例肱骨干骨折，这些骨折采用哈克萨尔束状穿针治疗。术前有6例桡神经麻痹。平均骨愈合延迟为65天。6例骨折未愈合，且无感染。术后唯一即时的神经并发症是进行性肘麻痹。72例骨折进行了平均4年的随访，以建立功能结果图表。94.4%的结果为良好和非常好，2例肩关节僵硬，仅1例肘关节僵硬。肱骨骨干D2至D5区的移位骨折以及病理性骨折是哈克萨尔束状穿针的良好适应证。
