自锁髓内钉内固定治疗肱骨干骨折合并桡神经损伤

Self-locking intramedullary nails in treatment of humeral shaft fracture complicated with radial nerve injury

目的探讨采用自锁髓内钉内固定治疗肱骨干骨折合并桡神经损伤的临床疗效及优越性。方法回顾性地复习了8例肱骨干骨折合并桡神经损伤患者的治疗经过及疗效。结果所有病例骨折愈合顺利,桡神经功能恢复满意。结论肱骨干骨折合并桡神经损伤应尽早手术探查,自锁髓内钉内固定克服了传统钢板螺钉内固定的不足,能同时兼顾骨折愈合和损伤桡神经的功能恢复,有一定的优越性。

Objective To observe the clinical effects and a dvantages of self-locking intramed ullary nails in treatment of humeral shaft fracture incorporated with radial nerve inju ry.Methods A retrospective study was done on 8cases of humeral shaft fracture c omplicated with radial nerve injury which were treated with self-lockin g in-tramedullary nails.Results All cases achieved nice union.The fu nctional recovery of radial nerve wa s satisfac-tory.Conclusions Operative exploration should be don e early for humeral shaft fractures with radial nerve in-juries.Self-locking intramedulla ry nails provide better internal fix ation than traditional steel plates and screws,and at the same time facilitate fracture healing and recovery of injured radial nerve.[