逆行交锁髓内钉治疗肱骨中下段骨折疗效观察

Therapeutic Effect of Retrograde Interlocking Intramedullary Nail in the Treatment of Middle and Distal Humerus Fractures

目的评价应用闭合复位逆行交锁髓钉内固定治疗肱骨中下段骨折的临床效果,观察患者术后肩肘关节恢复情况。方法分析我院2010年1月~2017年8月47例肱骨中下段骨折采用闭合复位逆行交锁髓钉内固定治疗患者,按AO骨折分型A型20例,B型15例,C型12例,术后早期行肩肘关节功能锻炼。结果 45例患者获8~23 y(平均15 y)随访,骨折全部愈合,肩、肘关节功能良好。骨折临床愈合时间14 w,无切口感染、骨折不愈合及内固定断裂等并发症。结论闭合复位逆行交锁髓钉内固定治疗肱骨中下段骨折具有手术操作简单、创伤小、手术时间短、出血少,不损伤肩袖,肩肘关节功能恢复满意,是治疗肱骨中下段骨折的一种理想方法。

Objective To evaluate the clinical effect of closed reduction,retrograde interlocking intramedullary nailing in the treatment of fractures of the middle and lower humerus and to observe the postoperative recovery of shoulder and elbow joints.Methods Analysis of 47 cases of middle and lower humeral fractures in our hospital from January 2010 to August 2017 treated with closed reduction and retrograde interlocking nail fixation.According to AO fracture type,20 cases were type A,15 cases were type B,and 12 cases were type C,postoperative early shoulder elbow functional exercise.Results 45 patients were followed up in 8~23 y(average is 15 y).The fractures healed completely and the function of shoulder and elbow was good.Clinical fracture healing time is 14 w,no incision infection,fracture nonunion or internal fixation fracture and other complications.Conclusion Closed reduction and retrograde interlocking nailing in the treatment of middle and distal humerus fractures with simple operation,less trauma,shorter operative time,less bleeding,no damage to the rotator cuff,satisfactory shoulder and elbow joint functional recovery,a ideal treatment of fractures of the middle and lower humerus fracture.