Shazar N, Brumback R J, Vanco B
Section of Orthopedics, R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore 21201-1595, USA.
Orthopedics. 1998 Jun;21(6):641-6. doi: 10.3928/0147-7447-19980601-06.
A retrospective review of 94 humeral shaft fractures stabilized with retrograde Ender nails was performed to determine the safety and efficacy of this technique. Follow-up averaged 71 weeks. Eighty-six (91.5%) healed with no additional intervention (average: 14 weeks). There were eight (8.5%) nonunions. The functional results were good in 74 (81%), fair in 12 (13%), and poor in 5 (6%). There was one radial nerve palsy secondary to the operative procedure. The reoperation rate, including the repair of nonunions, was 19%. We conclude that intramedullary Ender nail fixation is a relatively simple and quick procedure, especially for the multiply injured patient, that adequately stabilizes most humeral fractures, yielding overall good results.
对94例采用逆行髓内钉固定的肱骨干骨折进行回顾性研究，以确定该技术的安全性和有效性。平均随访71周。86例（91.5%）骨折愈合，无需额外干预（平均14周）。有8例（8.5%）骨不连。功能结果良好的有74例（81%），一般的有12例（13%），差的有5例（6%）。有1例因手术操作导致桡神经麻痹。包括骨不连修复在内的再次手术率为19%。我们得出结论，髓内Ender钉固定是一种相对简单快捷的手术，尤其适用于多发伤患者，能充分稳定大多数肱骨干骨折，总体效果良好。
