用于骨折固定的肱骨暴露。

Exposures of the humerus for fracture fixation.

作者信息

Capo John T, Criner Katharine T, Shamian Ben

机构信息

Department of Orthopaedics, NYU Langone Medical Center, NYU Hospital for Joint Diseases, 530 First Avenue, Suite 8U, New York, NY 10016, USA.

Division of Hand Surgery, Department of Orthopaedics, NYU Hospital for Joint Diseases, 550 First Avenue, Suite 8U, New York, NY 10016, USA.

出版信息

Hand Clin. 2014 Nov;30(4):401-14, v. doi: 10.1016/j.hcl.2014.07.001. Epub 2014 Oct 23.

DOI:10.1016/j.hcl.2014.07.001

PMID:25440069

Abstract

The care of humeral shaft fractures is undergoing a transition to more aggressive treatment methods with more frequent operative fixation. The upper arm has an extensive network of nerves, arteries, and veins that must be protected during any operative exposure. The ultimate goal of fixation of a humerus fracture is rigid stabilization to allow early range of motion, protection of the neurovascular structures, and preservation of the triceps mechanism posteriorly and the anterior elbow flexor muscles.

摘要

肱骨干骨折的治疗正在向更积极的治疗方法转变，手术固定更为频繁。上臂有广泛的神经、动脉和静脉网络，在任何手术暴露过程中都必须加以保护。肱骨干骨折固定的最终目标是实现坚强稳定，以允许早期活动范围，保护神经血管结构，并保留后方的肱三头肌机制和前方的肘部屈肌。