CAJ | 학술논문

目的：探讨旋人式髓内钉顺行治疗肱骨干骨折的临床疗效。方法采用顺行旋人式自锁髓内钉固定24例肱骨干骨折患者。结果所有患者均获随访，随访时间平均18.2个月，骨折愈合率100%，平均愈合时间23.5(21.4～24.7)w。肩关节Constant评分平均83.7(76.9～89.6)分；肘关节 Mayo评平均93.3(89.6～94.3)分；Neer评分：优20例，良4例。结论旋入式髓内钉顺行固定肱骨干骨折手术损伤小、操作简单、时间短、术中、术后桡神经损伤等并发症少、骨折愈合快，适合稳定性骨折、粉碎性骨折。二次手术取出内固定物简单，有效避免桡神经损伤。
목적：탐토선인식수내정순행치료굉골간골절적림상료효。방법채용순행선인식자쇄수내정고정24례굉골간골절환자。결과소유환자균획수방，수방시간평균18.2개월，골절유합솔100%，평균유합시간23.5(21.4～24.7)w。견관절Constant평분평균83.7(76.9～89.6)분；주관절 Mayo평평균93.3(89.6～94.3)분；Neer평분：우20례，량4례。결론선입식수내정순행고정굉골간골절수술손상소、조작간단、시간단、술중、술후뇨신경손상등병발증소、골절유합쾌，괄합은정성골절、분쇄성골절。이차수술취출내고정물간단，유효피면뇨신경손상。
Objective This study aims to investigate the clinical ef icacy of treating humeral shaft fractures with spinning-insertion intramedul ary nails (IM nails).Methods 24 patients with humeral shaft fractures were treated with antegrade self-locking IM nails.Results After performing fol ow-up surveys lasting for 18.2 months averagely,al fractures had healed up,with a mean healing period of 23.5 (21.4~24.7)weeks.The mean Constant score of the shoulder joint was 83.7 (76.9~89.6)and the mean Mayo score of the elbow joint was 93.3 (89.6~94.3),while the excel ent and good outcomes according to Neer scoring were 20 cases and 4 cases respectively.Conclusion By implementing antegrade fixation with spinning-insertion IM nails in humeral shaft fracture surgeries,pre-and post-operative damages and complications such as radial nerve injuries can be limited via more simplified surgical procedures.Such operations wil take less time,and can be applicable to both stable and comminuted fractures.Patients thus treated would heal up faster and radial nerve lesions can be also wel avoided for it wil be much easier to extract inner fixation via the reoperation.