CAJ | 학술논문

背景:肱骨干骨折的治疗存在很多争议,桡神经损伤和骨折不愈合的发生率还很高,如何治疗复杂的肱骨干骨折是医生头痛的问题. 目的:综合分析外固定支架治疗肱骨干骨折的可靠性. 方法:利用外固定支架治疗肱骨干骨折患者10例.骨折均为外伤导致的闭合骨折,按AO分型:A型2例,B型骨折3例,C型骨折5例.采用麻醉下闭合复位或骨折端小切口复位,单纯外固定支架固定.治疗后1,4,8,12,20,24周和1年拍肱骨正侧位X射线片,观察骨折对位及骨折愈合情况,采用Constant评分及Mayo评分评估肩、肘关节功能. 结果与结论:随访12个月10例患者骨折均骨性愈合,愈合时间为外固定支架治疗后12-24周,平均16.1周愈合.1例出现桡神经损伤症状,于治疗后12周神经功能完全恢复.患者肩关节Constant评分平均为77.3分;肘关节功能恢复良好,Mayo评分平均为81.8分.结果证实,外固定支架治疗各型肱骨干骨折能取得较好的治疗效果.
배경:굉골간골절적치료존재흔다쟁의,뇨신경손상화골절불유합적발생솔환흔고,여하치료복잡적굉골간골절시의생두통적문제. 목적:종합분석외고정지가치료굉골간골절적가고성. 방법:이용외고정지가치료굉골간골절환자10례.골절균위외상도치적폐합골절,안AO분형:A형2례,B형골절3례,C형골절5례.채용마취하폐합복위혹골절단소절구복위,단순외고정지가고정.치료후1,4,8,12,20,24주화1년박굉골정측위X사선편,관찰골절대위급골절유합정황,채용Constant평분급Mayo평분평고견、주관절공능. 결과여결론:수방12개월10례환자골절균골성유합,유합시간위외고정지가치료후12-24주,평균16.1주유합.1례출현뇨신경손상증상,우치료후12주신경공능완전회복.환자견관절Constant평분평균위77.3분;주관절공능회복량호,Mayo평분평균위81.8분.결과증실,외고정지가치료각형굉골간골절능취득교호적치료효과.
@@@@BACKGROUND:The treatment of humeral fractures remains many disputes, the incidence of radial nerve damage and fracture nonunion is stil high, so how to treat complex humeral fracture is a headache problem for doctors. @@@@OBJECTIVE:To explore the reliability of external fixator for the treatment of humeral shaft fractures. @@@@METHODS:Ten cases of humeral shaft fractures were treated by external fixator. And the fractures were al closed and caused by trauma. According to the AO classification, there were two cases of type A, three cases of type B and five cases of type C. Under anesthesia, the patients were treated with closed reduction or smal incision reduction, and were fixed by external fixation. The anteroposterior X-ray films of humerus were taken at 1, 4, 8, 12, 20 and 24 weeks and 1 year after treatment for the observation of fracture alignment and fracture healing. The shoulder and elbow joint function was evaluated with Constant score and Mayo score. @@@@RESULTS AND CONCLUSION:Al patients were fol owed-up for 12 months. Al the fractures were healed and the average healing time was 16.1 weeks (ranged from 12-24 weeks after external fixation). Radial nerve injury symptoms occurred in one case and completely recovered after 12 weeks after the operation. The Constant score of the shoulder joint function was 77.3;the elbow joint function recovered wel with the Mayo score of 81.8. External fixator is the ideal choice for various humeral shaft fractures.