University of Chicago Medical Center, 5841 S. Maryland Ave, MC# 3079, Chicago, IL, 60637, USA,
Curr Rev Musculoskelet Med. 2012 Sep;5(3):177-83. doi: 10.1007/s12178-012-9125-z.
Management of humeral shaft fractures has historically been largely conservative. A significant body of literature, dating back to the 1970s, has shown that functional bracing may achieve greater than 90 % union rates and acceptable functional outcomes. More recently, however, with the advent of new surgical techniques and implant options, less tolerance for acceptable deformity and functional deficits, and less patience with conservative management, many treating orthopaedic surgeons are increasingly likely to consider surgical intervention. This article reviews the current recommendations for treatment of humeral shaft fractures, including both nonoperative and operative intervention. It also discusses the current thinking and operative trends in humeral shaft fracture fixation.
肱骨骨折的治疗在历史上主要是保守的。大量的文献可以追溯到 20 世纪 70 年代，这些文献表明，功能支具可能达到超过 90%的愈合率和可接受的功能结果。然而，最近，随着新的手术技术和植入物选择的出现，对可接受的畸形和功能缺陷的容忍度降低，对保守治疗的耐心降低，许多治疗骨科医生越来越倾向于考虑手术干预。本文回顾了肱骨骨折的治疗建议，包括非手术和手术干预。它还讨论了肱骨骨折固定的当前思维和手术趋势。
