Szabo R M, Skinner M
Department of Orthopedics, University of California, Davis, Sacramento 95817.
Acta Orthop Scand. 1990 Aug;61(4):350-2. doi: 10.3109/17453679008993534.
Retrospectively, we reviewed the treatment and outcome of 46 isolated fractures of the ulnar shaft. Of 18 fractures treated by immediate open reduction and internal fixation, one open fracture became infected and failed to unite. Of 28 fractures treated closed, seven failed to unite. The factors prognostic of nonunion in closed treated fractures were (1) fracture in the proximal third of the ulna and (2) displacement 5 mm or more. In such cases, we recommend internal fixation.
我们回顾性地分析了46例尺骨干单骨折的治疗方法及疗效。18例接受急诊切开复位内固定治疗的骨折中，1例开放性骨折发生感染，骨折不愈合。28例接受闭合治疗的骨折中，7例骨折不愈合。闭合治疗骨折不愈合的预后因素为：（1）尺骨近端1/3骨折；（2）移位5mm及以上。对于此类病例，我们建议行内固定治疗。
