Chee Yuhan, Agorastides Ioannis, Garg Neeraj, Bass Alf, Bruce Colin
Orthopaedic Department, Royal Liverpool Children's Hospital, Alder Hey, Liverpool, UK.
J Pediatr Orthop B. 2006 Jan;15(1):45-50. doi: 10.1097/01202412-200601000-00010.
We report on our 8-year experience of using elastic stable intramedullary nailing for severely displaced proximal humeral fractures in children. Fourteen patients (mean age 13.4 years) with seven epiphyseal and seven metaphyseal fractures underwent intramedullary nailing, using single nail fixation in 12 cases. Clinical and radiological healing was achieved at 2.4 and 3.2 months, respectively. Complications included temporary shoulder and elbow stiffness in one and four cases, respectively, one nail breakage at removal, two cases with minor humeral shortening, and two cases with minor varus deformity. At the final (14.6-month) follow up all patients had a symptom-free full range of motion. Elastic stable intramedullary nailing is a valid method of treating severely displaced proximal humeral fractures in children.
我们报告了使用弹性稳定髓内钉治疗儿童严重移位肱骨近端骨折的8年经验。14例患者（平均年龄13.4岁），其中7例为骨骺骨折，7例为干骺端骨折，接受了髓内钉固定，12例采用单钉固定。临床愈合和影像学愈合分别在2.4个月和3.2个月时实现。并发症包括1例出现暂时的肩部僵硬和4例出现暂时的肘部僵硬，取出时1例钉子断裂，2例肱骨轻度短缩，2例轻度内翻畸形。在末次（14.6个月）随访时，所有患者均无症状且活动范围正常。弹性稳定髓内钉是治疗儿童严重移位肱骨近端骨折的一种有效方法。
