Markel D C, Donley B G, Blasier R B
Section of Orthopaedic Surgery, University of Michigan Hospitals, Ann Arbor.
Orthop Rev. 1994 Aug;23(8):667-71.
Proximal humeral fractures can usually be treated closed. However, even with an adequate closed reduction, these fractures are occasionally unstable, fail to remain reduced, and require operative intervention. A percutaneous intramedullary pinning technique is effective in stabilizing these fractures. Two cases that illustrate the adult and pediatric techniques for pin placement/application are presented. In the pediatric population, however, large multiple pins often cannot be used due to the size of the intramedullary canal, and fewer or smaller diameter pins are used.
肱骨近端骨折通常可以采用闭合治疗。然而，即使进行了充分的闭合复位，这些骨折偶尔仍会不稳定，无法维持复位状态，需要手术干预。经皮髓内穿针技术对于稳定这些骨折是有效的。本文介绍了两例分别说明成人和儿童穿针/置针技术的病例。然而，在儿童群体中，由于髓腔尺寸的原因，通常无法使用多根大直径的针，而是使用较少数量或较小直径的针。
