Ender’s针在肱骨干骨折中的临床应用

Clinical application of Ender’s pin for the treatment of humeral shaft fracture

目的 总结Ender’s针治疗肱骨干骨折的经验。方法 采用Ender’s针内固定治疗肱骨干骨折 2 8例。结果 经 8至 2 0个月的随访 ,2 8例均达到骨性愈合 ,其中 2 5例达到解剖复位 ,患肢肩关节、肘关节功能恢复正常 ;2例分别有 5°和 8°成角 ,但不影响功能 ;1例肩关节外展上举功能仅达 80°。结论 Ender’s针内固定治疗肱骨干骨折具有切口小、骨膜剥离少、固定效果可靠、骨折愈合率高、不易引起桡神经麻痹或损伤、再次取出简便等优点 ,是一种简单有效的治疗方法。

WT5”BZ][HT5”H]Objective [HT5”SS]To review the results of the application of the Ender’s pin for the treatment of humeral shaft fracture.[HT5”H]Methods [HT5”SS]28 cases of humeral shaft fracture were treated with internal fixation using Ender’s pin.[HT5”H]Results [HT5”SS]The period of follow-up ranged from 8 months to 20 months.Of the 28 cases with bony union,25 reached anatomical reduction and the function of shoulder and elbow joints restorated to normal;2 had 5 and 8 degrees of angulation deformity,however it did not affect the limb function;one case had only 80 degree of abduction in elevation of the shoulder joint.[HT5”H]Conclusion The advantages of Ender’s pin are as follows:small incision,little stripping of periosteum,stable fixation,higher union rate of the fracture,little risk of radial nerve injury and conveniency for extraction at a second surgical setting. [WT5”HZ]