Bell M J, Beauchamp C G, Kellam J K, McMurtry R Y
J Bone Joint Surg Br. 1985 Mar;67(2):293-6. doi: 10.1302/0301-620X.67B2.3980544.
Excellent results can be achieved by plating fractures of the shaft of the humerus in patients with multiple injuries. This helps in nursing care and in the management of other injuries. In 38 patients admitted to a regional trauma centre, 39 humeral shaft fractures were plated. There were 27 men and 11 women, with an average age of 31.5 years. Fourteen of the humeral fractures were compound and 20 had significant comminution; 23 were fixed by a plate on the day of admission and all 39 by the twentieth day. Follow-up of 34 fractures showed that all had united, 33 primarily. All patients but one had a fully functional shoulder and no patient with a fractured humerus alone had lost any elbow movement. Complications were rare--one case each of non-union, fixation failure and infection. No permanent nerve injuries were produced at operation. The plating of fractures of the humerus in these circumstances has been shown to produce excellent results and has a place in the management of the patient with multiple injuries.
对于多发伤患者，采用钢板固定肱骨干骨折可取得良好效果。这有助于护理及其他损伤的处理。在一家地区创伤中心收治的38例患者中，共对39处肱骨干骨折进行了钢板固定。其中男性27例，女性11例，平均年龄31.5岁。14处肱骨骨折为开放性骨折，20处有明显粉碎；23处在入院当天行钢板固定，至第20天时39处骨折全部完成固定。对34处骨折的随访显示，所有骨折均已愈合，33处为一期愈合。除1例患者外，所有患者的肩部功能均完全恢复，且单纯肱骨骨折患者无一例出现肘关节活动丧失。并发症少见——各有1例骨不连、内固定失败及感染。手术未造成永久性神经损伤。在这种情况下，肱骨骨折钢板固定已被证明可取得良好效果，在多发伤患者的治疗中具有一席之地。
