髓内钉置入内固定治疗肱骨骨折

Intramedullary nail internal fixation for the treatment of humeral fracture

背景:肱骨骨折的治疗到目前仍未形成一个固定的、被大多数学者接受的统一的治疗模式,髓内钉置入内固定治疗肱骨骨折的适应证、手术时机等一直存在分歧。目的:分析肱骨骨折的病理解剖、愈合过程及损伤分型,探讨髓内钉置入内固定治疗肱骨骨折的手术适应证及时机。方法:治疗复杂肱骨骨折的目的是恢复必要的功能或解剖位,达到稳定置入固定,能早期功能锻炼。收集髓内钉置入固定治疗肱骨骨折的相关文献,找出治疗对象相似、疗效评价标准相同的病例进行比较研究。为肱骨骨折的临床治疗提供依据。结果与结论:肱骨骨折在选择治疗方法时应严格评估骨折类型、骨质质量及选择适合的髓内钉对于肱骨骨折治疗预后很重要。了解髓内钉的类型和置入固定方式,认识不同种类髓内钉置入治疗肱骨骨折的价值,采取有效措施防治髓内钉置入固定治疗肱骨骨折相关并发症的发生,可在治疗肱骨骨折时得到满意的结果。

BACKGROUND： At present, for the treatment of humeral fracture, there has not yet been formed uniform treatment mode which is fixed and accepted by most scholars, and there are disagreements on the indications and surgical timing of humeral fracture treated with intramedullarynail internal fixation.OBJECTIVE： To analyze the pathological anatomy, healing process and injury typing of humeral fracture and to investigate the indications and surgical timing of humeral fracture treated with intramedullary nail internal fixation.METHODS： The purpose of the treatment of complex humeral fractures was to restore the necessary functional or anatomical bits, achieve stable fixation and placement, thus get the early-stage functional exercise. The articles concerning the treatment of humeral fractures with intramedullary nail internal fixation were summarized to find out the cases with the similar treatment objects and the same curative effect evaluation criteria for the comparative study, in order to provide basis for the clinical treatment of humeral fractures.RESULTS AND CONCLUSION： For the treatment of humeral fractures, it is important to critically assess the type of fracture and bone quality and to select the suitable intramedullary nail during the treatment of humeral fractures.Understanding the type of intramedullary nail and the manner of internal fixation, recognizing the value of different types of intramedullary nail placement for the treatment of humeral fractures as well as taking the effective measures to prevent the related complications during the treatment of humeral fractures with intramedullary nail internal fixation can help to obtain the satisfactory results during the treatment of humeral fractures.