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弹性髓内钉治疗肱骨近端不稳定骨折。

Flexible intramedullary pins in the treatment of unstable proximal humeral fractures.

作者信息

Zifko B, Poigenfürst J, Pezzei C, Stockley I

机构信息

Unfallkrankenhaus Lorenz Böhler, Vienna, Austria.

出版信息

Injury. 1991 Jan;22(1):60-2. doi: 10.1016/0020-1383(91)90167-d.

DOI:10.1016/0020-1383(91)90167-d
PMID:2030037
Abstract

A series of 35 proximal humeral fractures treated with flexible intramedullary pins between 1986 and 1988 are presented. Special design features of the pins include a proximal 15 degrees angulated 20 mm tip and a 20 mm curve distally. The method is suitable for fractures in the surgical neck with displacement of bone width (AO-type A2/2). In cases of fracture-dislocation or three- or four-part fractures it is only suitable when the fragments can be reduced satisfactorily. Complications are minimal with 95 per cent bone union.

摘要

本文介绍了1986年至1988年间采用弹性髓内针治疗的35例肱骨近端骨折。这些针的特殊设计特点包括近端有一个15度成角的20毫米尖端,远端有一个20毫米的弯曲。该方法适用于外科颈骨折且有骨宽度移位的情况(AO型A2/2)。在骨折脱位或三部分或四部分骨折的情况下,只有当骨折块能够满意复位时才适用。并发症极少,骨愈合率为95%。

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