Russell-Taylor交锁髓内钉治疗肱骨干骨折  

Treatment of humeral shaft fractures with Russell-Taylor interlocking intramedullar nail

作　　者：倪江东[1] 谭进[1] 董忠根[1] 许焕学[1] 

机构地区：[1]中南大学湘雅二医院骨科,长沙410011

出　　处：《湖南医科大学学报》2003年第2期159-161,共3页Bulletin of Hunan Medical University

摘　　要：目的 :评价Russell Taylor扩髓型交锁髓内钉治疗肱骨干骨折的临床效果。方法 :对 2 6例肱骨干骨折患者采用Russell Taylor扩髓型交锁髓内钉治疗 ,其中 19例采用顺行髓内钉 ,7例采用逆行髓内钉。结果 :平均随访16个月 ( 6～ 2 4个月 ) ,全部获骨性愈合 ,平均愈合时间 4.7个月 ( 3～ 8个月 ) ,肩关节功能优 18例 ,良 5例 ,一般 3例。肘关节功能优 2 3例 ,良 3例 ,1例病人出现近端交锁螺钉的肩关节撞击症状。无感染及医源性骨折和周围神经损伤等并发症。结论 :Russell Taylor扩髓型交锁髓内钉是治疗肱骨干骨折的有效方法。Objective To evaluate the clinical effects of Russell-Taylor interlocking intramedullar nail (RT nail) on humeral shaft fractures. Methods Twenty six patients with humeral shaft fractures were treated with RT nail,of whom 19 cases were treated with antegrade RT nail and 7 cases with retrograde RT nail. Results With an average of 16 months (range 6～24 months) of follow-up,all cases acquired bony union with mean union time 4.7 months (range 3～8 months). The recovery of shoulder function was excellent in 18 cases, good in 5 cases,and fair in 3 cases. The recovery of elbow function was excellent in 23 cases and good in 3 cases. One case had shoulder impingement caused by proximal locking screw. All cases had no infection,iatrogenic fracture,and peripheral nerve injury. Conclusion RT nail is an effective method for the treatment of humeral shaft fractures.

关 键 词：Russell-Taylor 交锁髓内钉 治疗 肱骨干骨折 骨折固定术 

分 类 号：R687.32[医药卫生—骨科学]