Mentzel H E, Probst J, Wohlleben B
Aktuelle Traumatol. 1982 Dec;12(6):229-34.
An assessment of treatment results achieved during two periods of observation (1953-1976 and 1976-1981) shows that chances of osseous healing are good in fractures and non-unions of the shaft of the humerus, provided the method of treatment had been correctly indicated. Preference should be given to conservative treatment in case of fresh fractures of the shaft. However, if this is not possible, surgery is indicated, as is the case if healing does not take place. Laminar osteosynthesis performed from the dorsal side should be the method of choice, since it combines the advantages of easy surveyability while performing the operation with those of biomechanical stability.
对两个观察期(1953 - 1976年和1976 - 1981年)所取得的治疗结果进行评估表明,只要治疗方法选择正确,肱骨干骨折和骨不连的骨愈合几率良好。对于肱骨干新鲜骨折,应优先选择保守治疗。然而,如果无法进行保守治疗,如骨折不愈合的情况,则需进行手术治疗。从背侧进行的层状骨合成术应作为首选方法,因为它兼具手术操作时易于观察以及生物力学稳定性的优点。