From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.
J Am Acad Orthop Surg. 2023 Aug 15;31(16):860-870. doi: 10.5435/JAAOS-D-22-00077. Epub 2023 Apr 14.
External fixation is a powerful tool in the armamentarium of the active orthopaedic surgeon. The upper extremity, however, poses unique challenges in the techniques of external fixation because of the smaller soft-tissue envelope and the proximity of neurovascular structures, which may be entrapped in fracture fragments or traversing in line with pin trajectories. This review article summarizes the indications, techniques, clinical outcomes, and complications of external fixation of the upper extremity in the setting of proximal humerus, humeral shaft, distal humerus, elbow, forearm, and distal radius fractures.
外固定架是活跃骨科医生手中的有力工具。然而，由于上肢的软组织覆盖范围较小，且神经血管结构靠近，可能会被骨折碎片包裹或与钢针轨迹一致穿过，因此在外固定技术方面带来了独特的挑战。本文综述了在上臂近端、肱骨干、肱骨远端、肘部、前臂和桡骨远端骨折中应用外固定架的适应证、技术、临床结果和并发症。
