Beguin J M, Plenevaux P, Poilvache G
Institut des Deux Alice, Département Orthopédie-Traumatologie, Bruxelles, Belgique.
Acta Orthop Belg. 1991;57(2):114-23.
A humeral shaft fracture results in a nonunion in less than 10% of cases, regardless of the technique used. The treatment of such cases must be different from the initial treatment. In a pseudarthrosis of the medial shaft of the humerus with a transverse or short oblique line, a suitable procedure is medullary filling with Hackethal nails or a Küntscher nail. If the fracture line is long and oblique, spiral, fragmented or distant from the narrow part of the humeral shaft, a modified interlocking intramedullary nail is recommended.
肱骨干骨折不愈合的发生率低于10%，与所采用的技术无关。此类病例的治疗必须不同于初始治疗。对于肱骨干内侧假关节伴有横行或短斜行骨折线的情况，合适的手术方法是用哈克萨尔钉或克氏针进行髓内填充。如果骨折线长且呈斜行、螺旋形、粉碎性或远离肱骨干狭窄部位，则建议采用改良型带锁髓内钉。
