Rush J
Orthopaedic Department, St. Vincent's Hospital, Fitzroy, Victoria.
Aust N Z J Surg. 1987 Oct;57(10):723-5.
Closed intramedullary nailing of the humerus using a curved clover-leaf nail (Pohl nail) is a relatively minor operative procedure and is associated with few complications. The technique of the operation when performed from below (29 cases) and also from above (7 cases) is that as described initially by Kuntscher and his colleagues. This paper presents the technique and the experience from 1978 to 1985 with 36 cases (20 for metastatic bone deposits, four in multiple injury patients, three in patients with a severe head injury, four in patients with multiple fractures in the same limb and five in other patients particularly elderly women with osteoporotic bones). This review demonstrates the efficacy of closed intramedullary nailing of the humerus particularly when the nail is inserted into the humerus from below just proximal to the olecranon fossa.
使用弯形三叶草髓内钉（波尔钉）对肱骨进行闭合髓内钉固定术是一种相对较小的手术操作，且并发症较少。从下方（29例）以及从上方（7例）进行手术的操作技术与孔奇尔及其同事最初描述的相同。本文介绍了1978年至1985年期间对36例患者（20例为转移性骨沉积患者，4例为多发伤患者，3例为重度颅脑损伤患者，4例为同一肢体多发骨折患者，5例为其他患者，特别是患有骨质疏松症的老年女性）采用该技术的经验。这篇综述表明肱骨闭合髓内钉固定术的有效性，特别是当髓内钉从下方恰好在鹰嘴窝近端插入肱骨时。
