Mills W J, Hanel D P, Smith D G
Department of Orthopedic Surgery, University of Washington, Seattle, USA.
J Orthop Trauma. 1996;10(2):81-6. doi: 10.1097/00005131-199602000-00002.
Indications for operative treatment of fractures of the shaft of the humerus have been well described. Anterolateral and posterior surgical approaches are generally preferred for fractures of the proximal/middle thirds and distal third of the humerus, respectively. Each approach has its advantages and disadvantages. We present an alternative, "lateral" approach to the humeral shaft. This approach allows supine positioning of the multiply injured patient and visualization of the radial nerve throughout the extent of the incision, and requires no muscle splitting.
肱骨干骨折的手术治疗指征已有详尽描述。对于肱骨近端/中三分之一和远端三分之一的骨折，通常分别优先采用前外侧和后外侧手术入路。每种入路都有其优缺点。我们提出一种用于肱骨干的替代性“外侧”入路。这种入路允许对多处受伤的患者采用仰卧位，并且在整个切口范围内都能看到桡神经，而且无需劈开肌肉。
