He Hong-Ying, Zhang Jian-Zheng, Wang Xiao-Wei, Liu Zhi
Department of Orthopedics, General Hospital of PLA, Beijing 100700, China.
Department of Orthopedics, General Hospital of PLA, Beijing 100700, China;
Zhongguo Gu Shang. 2018 Sep 25;31(9):803-807. doi: 10.3969/j.issn.1003-0034.2018.09.005.
To evaluate the results of Acumed intramedullary nail for the treatment of adult diaphyseal fractures of both-bone forearm fractures.
From January 2009 to December 2016, 86 adult patients with both forearm fractures were treated by intramedullary nail including 54 males and 32 females with an average age of 36.8 years old ranging from 18 to 72 years old;There were 50 cases were on the right and 36 cases on the left. The operation time, blood loss and X-ray expose time intra-operation, time of fracture union, complications, DASH(Disabilities of the Arm, Shoulder and Hand questionnaire), Grace-Eversman criteria were recorded to evaluate the clinical outcomes of intramedullary nail for the treatment of forearm fractures.
All patients were followed up from 48 to 144 weeks with an average of 86.8 weeks; the blood loss intraoperation was 30 to 80 ml with an average of 52 ml; the the X-ray expose time was 1 to 6 min with an average of 2.5 min;the operation time was 31 to 55 min with an average of 46 min; Among them, 85 cases healed successfully, the union time was 10 to 16 weeks with an average of 13.3 weeks. There were 1 case of hypertrophic nonunion, 1 case of ulnar radial bone bridge formation, and 1 case of extensor hallucis longus tendon injury. The DASH score was 4 to 37(means 15.6); according to Grace-Eversman criteria, the results were excellent in 65 cases, good in 15, acceptable in 5, poor in 1.
Intramedullary fixation method in treating both-bone forearm fractures has advantages of closed application, short operation time, little complication, and clinical outcomes is satisfied.
评估Acumed髓内钉治疗成人双骨干前臂骨折的效果。
2009年1月至2016年12月，86例成年双前臂骨折患者接受髓内钉治疗，其中男性54例，女性32例，平均年龄36.8岁，年龄范围18至72岁；右侧50例，左侧36例。记录手术时间、术中出血量、术中X线暴露时间、骨折愈合时间、并发症、上肢功能障碍评分（DASH）、Grace-Eversman标准，以评估髓内钉治疗前臂骨折的临床疗效。
所有患者随访48至144周，平均86.8周；术中出血量30至80毫升，平均52毫升；X线暴露时间1至6分钟，平均2.5分钟；手术时间31至55分钟，平均46分钟；其中85例顺利愈合，愈合时间10至16周，平均13.3周。有1例肥大性骨不连，1例尺桡骨桥形成，1例拇长伸肌腱损伤。DASH评分为4至37分（平均15.6分）；根据Grace-Eversman标准，结果为优65例，良15例，可5例，差1例。
髓内固定方法治疗双骨干前臂骨折具有闭合应用、手术时间短、并发症少、临床疗效满意的优点。
