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肱骨远端骨折——当前概念

Distal Humeral Fractures-Current Concepts.

作者信息

Beazley James C, Baraza Njalalle, Jordan Robert, Modi Chetan S

机构信息

University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, CV2 2DX, Coventry, UK.

出版信息

Open Orthop J. 2017 Nov 30;11:1353-1363. doi: 10.2174/1874325001711011353. eCollection 2017.

DOI:10.2174/1874325001711011353
PMID:29290875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5721312/
Abstract

BACKGROUND

Distal humerus fractures constitute 2% of all fractures in the adult population. Although historically, these injuries have been treated non-operatively, advances in implant design and surgical technique have led to improved outcomes following operative fixation.

METHODS

A literature search was performed and the authors' personal experiences are reported.

RESULTS

This review has discussed the anatomy, classifications, treatment options and surgical techniques in relation to the management of distal humeral fractures. In addition, we have discussed controversial areas including the choice of surgical approach, plate orientation, transposition of the ulnar nerve and the role of elbow arthroplasty.

CONCLUSION

Distal humeral fractures are complex injuries that require a careful planned approach, when considering surgical fixation, to restore anatomy and achieve good functional outcomes.

摘要

背景

肱骨远端骨折占成人所有骨折的2%。尽管从历史上看，这些损伤一直采用非手术治疗，但植入物设计和手术技术的进步已使手术固定后的疗效得到改善。

方法

进行了文献检索并报告了作者的个人经验。

结果

本综述讨论了与肱骨远端骨折治疗相关的解剖结构、分类、治疗选择和手术技术。此外，我们还讨论了一些有争议的领域，包括手术入路的选择、钢板的放置方向、尺神经的移位以及肘关节置换术的作用。

结论

肱骨远端骨折是复杂的损伤，在考虑手术固定时需要精心规划，以恢复解剖结构并取得良好的功能结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/38901ae835cb/TOORTHJ-11-1353_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/fdd2260685eb/TOORTHJ-11-1353_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/633eaa464459/TOORTHJ-11-1353_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/babc9ad19557/TOORTHJ-11-1353_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/3e9fe6afb263/TOORTHJ-11-1353_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/9af2a874d0dd/TOORTHJ-11-1353_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/ce0e9aa814d3/TOORTHJ-11-1353_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/38901ae835cb/TOORTHJ-11-1353_F7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/fdd2260685eb/TOORTHJ-11-1353_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/633eaa464459/TOORTHJ-11-1353_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/babc9ad19557/TOORTHJ-11-1353_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/3e9fe6afb263/TOORTHJ-11-1353_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/9af2a874d0dd/TOORTHJ-11-1353_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/ce0e9aa814d3/TOORTHJ-11-1353_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76d8/5721312/38901ae835cb/TOORTHJ-11-1353_F7.jpg

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