Crates J, Whittle A P
Department of Orthopaedic Surgery, University of Tennessee Campbell Clinic, Memphis, USA.
Clin Orthop Relat Res. 1998 May(350):40-50.
Between 1992 and 1996, 73 acute humeral shaft fractures in 71 patients were treated with antegrade Russell-Taylor humeral nailing. Sixty (84%) patients sustained multiple trauma, and 26 (36%) fractures were open. Three patients had preoperative brachial artery injuries, and 12 had preoperative nerve palsies. Sixty-nine (94.5%) fractures united primarily, and two additional fractures united after bone grafting. There were no infections. Two (2.7%) iatrogenic radial nerve palsies occurred, and both were transient. Full shoulder function returned in 66 (90%) patients. Two (2.7%) patients had impingement from proximal locking screws, and one (1.4%) had impingement from a prominent nail. Normal elbow function was regained in 96% of patients. All patients without full return of elbow and shoulder function had concomitant injuries. Antegrade Russell-Taylor nailing is an acceptable alternative for the treatment of acute humeral shaft fractures in multiply injured patients.
1992年至1996年间，对71例患者的73处急性肱骨干骨折采用顺行Russell-Taylor肱骨髓内钉治疗。60例（84%）患者为多发伤，26处（36%）骨折为开放性骨折。3例患者术前有肱动脉损伤，12例有术前神经麻痹。69处（94.5%）骨折一期愈合，另外2处骨折在植骨后愈合。无感染发生。发生2例（2.7%）医源性桡神经麻痹，均为暂时性。66例（90%）患者恢复了完全的肩部功能。2例（2.7%）患者因近端锁定螺钉出现撞击，1例（1.4%）因髓内钉突出出现撞击。96%的患者恢复了正常的肘部功能。所有肘部和肩部功能未完全恢复的患者均伴有其他损伤。顺行Russell-Taylor髓内钉是治疗多发伤患者急性肱骨干骨折的一种可接受的替代方法。
