Zinghi G F, Sabetta E, Bungaro P, Sabalat S
III Divisione Chirurgica, Istituto Ortopedico Rizzoli, Bologna.
Ital J Orthop Traumatol. 1988 Mar;14(1):67-75.
Rigid osteosynthesis is widely indicated in fractures of the humeral diaphysis because it abolishes the need for external immobilisation and thereby facilitates early functional recovery. In simple fractures, osteosynthesis was used according to the principles of the Swiss AO school (rigid fixation in axial compression). In complex fractures we added a homoplastic cortical graft on the opposite side to the plate. A follow-up survey of 74 patients was carried out (minimum 8 months, maximum 10 years). There were two cases of complete paralysis of the radial nerve, which quickly regressed. There was one severe infection which resulted in pseudarthrosis, but this was due to an error of judgement because this was an open fracture with exposure of the fragments. This complication aside, the functional results were excellent, and completely justify this method of treatment.
肱骨骨干骨折广泛采用坚强内固定，因为它无需外固定，从而有利于早期功能恢复。对于简单骨折，按照瑞士AO学派的原则进行骨固定（轴向加压坚强固定）。对于复杂骨折，我们在钢板对侧加用同种异体皮质骨移植。对74例患者进行了随访调查（最短8个月，最长10年）。有2例桡神经完全麻痹，但很快恢复。有1例严重感染导致假关节形成，但这是由于判断失误，因为这是一处开放性骨折，骨折碎片外露。除了这一并发症外，功能结果非常好，完全证明了这种治疗方法的合理性。
