Rosen H
Mt. Sinai School of Medicine, New York, New York.
Orthop Clin North Am. 1990 Oct;21(4):725-42.
In summary, if one follows the AO/ASIF principles of open reduction and stable internal fixation of nonunions and pseudarthroses of the humerus, mostly with plate fixation supplemented by shingling or petaling, cement for loose screws when necessary, and bone grafting of defects or atrophic nonunions, then successful healing with one operative procedure can be achieved in over 95%, with almost full correction of preoperative deformity. Return of useful function and range of motion can also be achieved in 75% to 90% by early active exercises, physiotherapy, and occasional continuous passive motion, supported by hinged braces or cast braces in the postoperative period until union occurs. Union was achieved in an average of 6.6 months after the operative procedure.
总之，如果遵循AO/ASIF治疗肱骨骨不连和假关节切开复位及稳定内固定的原则，主要采用钢板固定并辅以叠瓦状或花瓣状固定，必要时用骨水泥固定松动螺钉，对骨缺损或萎缩性骨不连进行植骨，那么通过一次手术操作，超过95%的病例可实现成功愈合，术前畸形几乎可完全矫正。通过早期主动锻炼、物理治疗以及偶尔进行持续被动活动，并在术后使用铰链支具或石膏支具直至愈合，75%至90%的患者还可恢复有用的功能和活动范围。手术后平均6.6个月实现愈合。
