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肱骨骨折的髓内交锁钉固定:使用罗素-泰勒肱骨钉的经验

Intramedullary interlocking nailing for humeral fractures: experiences with the Russell-Taylor humeral nail.

作者信息

Ikpeme J O

机构信息

Orthopaedic Department, Harrogate District Hospital, North Yorkshire, UK.

出版信息

Injury. 1994 Sep;25(7):447-55. doi: 10.1016/0020-1383(94)90271-2.

DOI:10.1016/0020-1383(94)90271-2
PMID:7960049
Abstract

The Russell-Taylor intramedullary interlocking nail has been used on 39 patients with fractures that occurred at various levels of the humerus. Thirty patients had acute fractures and nine had pathological fractures. Twenty-five patients with acute fractures were re-examined after their fractures had united and assessed according to Neer's classification of shoulder function. Twenty-two (88 per cent) had excellent and satisfactory shoulder function. Pain relief was achieved in all pathological fractures. Shoulder pain encountered in a few patients in this series, where nailing was performed by the antegrade route, was mainly due to problems associated with the proximal interlocking screw.

摘要

Russell-Taylor髓内交锁钉已用于39例肱骨不同部位骨折的患者。30例为急性骨折,9例为病理性骨折。25例急性骨折患者在骨折愈合后接受复查,并根据Neer肩关节功能分类法进行评估。其中22例(88%)肩关节功能优良。所有病理性骨折患者均实现了疼痛缓解。本系列中少数经顺行入路进行髓内钉固定的患者出现的肩部疼痛,主要与近端交锁螺钉相关问题有关。

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