军事训练中投掷骨折的治疗与预防

The Treatment and Prevention of Humerus Fracture in Military Hurling Training

目的 评估治疗肱骨投掷骨折的临床效果。方法 我院自2011年3月至2015年1月共收治了36例肱骨投掷骨折患者,患者均为男性,全部为当年入伍新兵,年龄17~22岁,平均年龄19岁,右侧35例,左侧1例（左利手）,合并桡神经不同程度损伤8例。术后三角巾悬吊固定6 w,行关节功能锻炼。结果 术后随访7~35个月,平均随访21个月,骨折全部愈合,愈合时间8~10 w,伴有桡神经损伤患者术后8 w全部恢复正常,肩关节、肘关节活动范围正常。术后1年患者行内固定物取出手术。结论 加压螺钉结合普通保护性钢板内固定是治疗肱骨投掷骨折的可靠方法。

Objective To evaluate the clinical treatment effect of humeral fractures in military hurling training. Methods 36 pa-tients with humeral fracture were treated in our hospital from March 2011 to January 2015. All of the patients were male, military re-cruits, aged 17 to 22, and the average age is 19 years old. Of all the 36 cases, 35 cases were right-handed and 1 case was left-hand-ed, and 8 patients were with different degrees of combined musculospiral nerve injury. The patients were given triangular bandage fixa-tion for 6 weeks after operation, then they performed the joint function exercise. Results All the patients were followed up for 7 to 35 months after operation, with an average of 21 months. All fractures were healed, and the healing time ranged from 8 to 10 weeks. All patients with musculospiral nerve injury recovered to normal after 8 weeks with the shoulder joints and elbow joints restoring to normal range of activities. One year after the operation, all patients were given operations to take out internal fixtures. Conclusion Compres-sion screw combined with common protective steel plate internal fixation is a reliable method for humeral fractures treatment.