Albrecht F
Unfallchirurgie. 1983 Feb;9(1):14-6.
Stable osteosynthesis of dislocated fractures of the head of the humerus by lag screws cannot be granted because the avascular head fragment is small. Alternatively the fixation can be performed by means of an angled 1/3-tubular plate with 8 holes. The plate is inserted similar to the condylar plate after preparing a seat with 3 drills of 2 mm ø. The angle-point depends on the diameter of the head fragment. The angle should be approximately 110 degrees. The free part is fixed to the shaft under tension. A successful case of total dislocation for more than one day is demonstrated where no head necrosis occurred.
由于肱骨头脱位骨折的无血管头部碎骨块较小，无法通过拉力螺钉实现稳定的骨合成。另外，可以使用一块带有8个孔的1/3管状角钢板进行固定。在使用3根直径2毫米的钻头钻出一个座后，将钢板以类似于髁钢板的方式插入。角点取决于头部碎骨块的直径。角度应约为110度。自由端在张力下固定于骨干。展示了一例全脱位超过一天且未发生头部坏死的成功病例。
