CAJ | 학술논문

骨关节植入物%骨关节植入物学术探讨%肱骨骨折%髓内钉%假体置换%骨折置入固定%锁定钢板%骨折分型%解剖学%肩关节功能%骨折愈合%并发症骨關節植入物%骨關節植入物學術探討%肱骨骨摺%髓內釘%假體置換%骨摺置入固定%鎖定鋼闆%骨摺分型%解剖學%肩關節功能%骨摺愈閤%併髮癥
골관절식입물%골관절식입물학술탐토%굉골골절%수내정%가체치환%골절치입고정%쇄정강판%골절분형%해부학%견관절공능%골절유합%병발증
bone and joint implants%academic discussion of bone and joint implants%humeral fractures%intramedul ary nail%prosthesis replacement%fracture fixation%locking plate%fracture type%anatomy%shoulder function%fracture healing%complications

背景:肱骨骨折的治疗到目前仍未形成一个固定的、被大多数学者接受的统一的治疗模式,髓内钉置入内固定治疗肱骨骨折的适应证、手术时机等一直存在分歧.目的:分析肱骨骨折的病理解剖、愈合过程及损伤分型,探讨髓内钉置入内固定治疗肱骨骨折的手术适应证及时机.方法:治疗复杂肱骨骨折的目的是恢复必要的功能或解剖位,达到稳定置入固定,能早期功能锻炼.收集髓内钉置入固定治疗肱骨骨折的相关文献,找出治疗对象相似、疗效评价标准相同的病例进行比较研究.为肱骨骨折的临床治疗提供依据.结果与结论:肱骨骨折在选择治疗方法时应严格评估骨折类型、骨质质量及选择适合的髓内钉对于肱骨骨折治疗预后很重要.了解髓内钉的类型和置入固定方式,认识不同种类髓内钉置入治疗肱骨骨折的价值,采取有效措施防治髓内钉置入固定治疗肱骨骨折相关并发症的发生,可在治疗肱骨骨折时得到满意的结果.
배경:굉골골절적치료도목전잉미형성일개고정적、피대다수학자접수적통일적치료모식,수내정치입내고정치료굉골골절적괄응증、수술시궤등일직존재분기.목적:분석굉골골절적병리해부、유합과정급손상분형,탐토수내정치입내고정치료굉골골절적수술괄응증급시궤.방법:치료복잡굉골골절적목적시회복필요적공능혹해부위,체도은정치입고정,능조기공능단련.수집수내정치입고정치료굉골골절적상관문헌,조출치료대상상사、료효평개표준상동적병례진행비교연구.위굉골골절적림상치료제공의거.결과여결론:굉골골절재선택치료방법시응엄격평고골절류형、골질질량급선택괄합적수내정대우굉골골절치료예후흔중요.료해수내정적류형화치입고정방식,인식불동충류수내정치입치료굉골골절적개치,채취유효조시방치수내정치입고정치료굉골골절상관병발증적발생,가재치료굉골골절시득도만의적결과.
@@@@BACKGROUND: At present, for the treatment of humeral fracture, there has not yet been formed uniform treatment mode which is fixed and accepted by most scholars, and there are disagreements on the indications and surgical timing of humeral fracture treated with intramedul ary nail internal fixation. OBJECTIVE: To analyze the pathological anatomy, healing process and injury typing of humeral fracture and to investigate the indications and surgical timing of humeral fracture treated with intramedul ary nail internal fixation. METHODS: The purpose of the treatment of complex humeral fractures was to restore the necessary functional or anatomical bits, achieve stable fixation and placement, thus get the early-stage functional exercise. The articles concerning the treatment of humeral fractures with intramedul ary nail internal fixation were summarized to find out the cases with the similar treatment objects and the same curative effect evaluation criteria for the comparative study, in order to provide basis for the clinical treatment of humeral fractures. RESULTS AND CONCLUSION: For the treatment of humeral fractures, it is important to critical y assess the type of fracture and bone quality and to select the suitable intramedul ary nail during the treatment of humeral fractures. Understanding the type of intramedul ary nail and the manner of internal fixation, recognizing the value of different types of intramedul ary nail placement for the treatment of humeral fractures as wel as taking the effective measures to prevent the related complications during the treatment of humeral fractures with intramedul ary nail internal fixation can help to obtain the satisfactory results during the treatment of humeral fractures.