肱骨干骨折

Gallusser Nicolas, Barimani Bardia, Vauclair Frédéric

Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

Division of Orthopedic Surgery, McGill University, Montreal, Canada.

EFORT Open Rev. 2021 Jan 4;6(1):24-34. doi: 10.1302/2058-5241.6.200033. eCollection 2021 Jan.

Humeral shaft fractures are relatively common, representing approximately 1% to 5% of all fractures.Conservative management is the treatment of choice for most humeral shaft fractures and offers functional results and union rates that are not inferior to surgical management.Age and oblique fractures of the proximal third are risk factors for nonunion. Surgical indication threshold should be lower in patients older than 55 years presenting with this type of fracture.Functional outcomes and union rates after plating and intramedullary nailing are comparable, but the likelihood of shoulder complications is higher with intramedullary nailing.There is no advantage to early exploration of the radial nerve even in secondary radial nerve palsy. Cite this article: 2021;6:24-34. DOI: 10.1302/2058-5241.6.200033.

肱骨干骨折相对常见，约占所有骨折的1%至5%。保守治疗是大多数肱骨干骨折的首选治疗方法，其功能恢复结果和骨折愈合率并不亚于手术治疗。年龄以及近端三分之一的斜形骨折是非愈合的危险因素。对于55岁以上出现此类骨折的患者，手术指征阈值应更低。钢板固定和髓内钉固定后的功能结果和骨折愈合率相当，但髓内钉固定后肩部并发症的可能性更高。即使在继发性桡神经麻痹的情况下，早期探查桡神经也没有优势。引用本文：2021;6:24 - 34。DOI: 10.1302/2058 - 5241.6.200033。