Winker H, Vosberg W, Cyris A
Berufsgenossenschaftliche Unfallklinik Tübingen.
Aktuelle Traumatol. 1993 Jul;23 Suppl 1:36-41.
"It is common practice to treat shaft fractures of the humerus conservatively" says the relevant literature. The results of 126 humerus shaft fractures in the years 1980 to 1989 are reported: 28 fractures were treated conservatively, 98 fractures underwent surgery using plate fixation, mainly the broad AO/ASIF-4,5-mm-DCP. As complications following operative treatment 4 temporary palsies of the radial nerve (4%), three cases of infection (3%) and one non-union (1%) were observed. The striking advantages of internal fixation are the chance of early functional treatment and the high convenience for the patient. The results reveal correctly performed osteosynthesis as an alternative method to conservative treatment of humerus shaft fractures.
“对肱骨干骨折进行保守治疗是常见的做法。”报告了1980年至1989年间126例肱骨干骨折的治疗结果:28例骨折采用保守治疗,98例骨折接受了钢板固定手术,主要是使用宽AO/ASIF-4.5毫米动力加压钢板。手术治疗后观察到的并发症有4例桡神经暂时麻痹(4%)、3例感染(3%)和1例骨不连(1%)。内固定的显著优点是有早期功能治疗的机会,且对患者极为便利。结果表明,正确实施的骨接合术是肱骨干骨折保守治疗的一种替代方法。