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[肱骨髁上骨折脱位的髓内钢丝固定治疗]

[Management of dislocated subcapital fractures of the humerus by intramedullary wiring].

作者信息

Laky R

机构信息

A Pécsi Orvostudományi Egyetem I. sz. Sebészeti Klinika, Traumatológiai Osztálya közleménye.

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1990;33(1):9-17.

PMID:1969009
Abstract

Author treated 24 subcapital dislocated humeral fractures with wire fixation of the medullary cavity. The fractures were classified according to Neer. The operation was begun in general anaesthesia with closed reduction; the fixation was made with K-wires through the bone window prepared on the dorsal side of the humerus, above the fossa olecrani. Gymnastics were begun on the 2-3 week. The results were assessed using the point system of Neer. Functional restitution followed in 2-4 months in every patient.

摘要

作者采用髓腔钢丝固定法治疗了24例肱骨近端脱位骨折。骨折根据Neer分类法进行分类。手术在全身麻醉下开始,先行闭合复位;通过在肱骨背侧鹰嘴窝上方制备的骨窗用克氏针进行固定。术后2至3周开始进行康复训练。结果采用Neer评分系统进行评估。每位患者在2至4个月内实现了功能恢复。

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