Weseley M S, Barenfeld P A, Eisenstein A L
J Trauma. 1977 Jan;17(1):29-37.
We have treated almost 700 proximal humeral fractures, and selected from them a series of 16 cases which required operative intervention in the form of semiclosed reduction and internal fixation with the Rush pin because of the marked amount of displacement and risk on nonunion. We favor the 3/16 inch Rush pin for this operation. Fractures of the surgical neck comprise the vast majority of cases operated upon in this series. They are the easiest to reduce and fix by the Rush pin technique. Certain comminuted severely displaced fractures involving the anatomic neck of the humerus and/or greater and lesser tuberosities also lend themselves to this operation with comparable results to other methods of treatment. There have been no postoperative motalities and minimal morbidity. The operation can be performed rapidly and requires only a short period of immobilization and hospitalization.
我们已经治疗了近700例肱骨近端骨折,从中选取了16例因移位明显和存在不愈合风险而需要采用半闭合复位并用Rush针内固定进行手术干预的病例。我们倾向于在该手术中使用3/16英寸的Rush针。本系列手术治疗的绝大多数病例为外科颈骨折。它们最容易通过Rush针技术进行复位和固定。某些累及肱骨解剖颈和/或大、小结节的粉碎性严重移位骨折也适合采用该手术,其效果与其他治疗方法相当。术后无死亡病例,发病率极低。该手术操作迅速,仅需短期固定和住院治疗。