肱骨干骨折

Benegas Eduardo, Ferreira Neto Arnaldo Amado, Neto Raul Bolliger, Santis Prada Flavia de, Malavolta Eduardo Angeli, Marchitto Gustavo Oliveira

Attending Physician in the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, Brazil.

Head of the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, HC/FMUSP, São Paulo, Brazil.

Rev Bras Ortop. 2015 Nov 16;45(1):12-6. doi: 10.1016/S2255-4971(15)30210-X. eCollection 2010 Jan.

Humeral shaft fractures (HSFs) represent 3% of the fractures of the locomotor apparatus, and the middle third of the shaft is the section most affected. In the majority of cases, it is treated using nonsurgical methods, but surgical indications in HSF cases are increasingly being adopted. The diversity of opinions makes it difficult to reach a consensus regarding the types of osteosynthesis, surgical technique and quantity and quality of synthesis materials that should be used. It would appear that specialists are far from reaching a consensus regarding the best method for surgical treatment of HSFs. We believe that less invasive methods, which favor relative stability, are the most appropriate methods, since the most feared complications are less frequent.

肱骨干骨折（HSFs）占运动系统骨折的3%，而骨干的中三分之一是受影响最严重的部位。在大多数情况下，采用非手术方法治疗，但HSF病例的手术指征正越来越多地被采用。观点的多样性使得在应使用的骨合成类型、手术技术以及合成材料的数量和质量方面难以达成共识。看来专家们远未就HSFs手术治疗的最佳方法达成共识。我们认为，有利于相对稳定性的微创方法是最合适的方法，因为最令人担忧的并发症较少见。