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humeral shaft fractures Intramedullary nail versus plate fixation

中华创伤骨科杂志 2004年第6期 81-83页

作者： Mohid Bhandari,Joseph R,Beate P.Hanson,Dan C. Norvell AO Publishing Stettbachstrasse 10 CH-8600 Dübendorf Switzerland AO Publishing Stettbachstrasse 10 CH-8600 Dübendorf Switzerland AO Publishing Stettbachstrasse 10 CH-8600 Dübendorf Switzerland AO Publishing Stettbachstrasse 10 CH-8600 Dübendorf Switzerland

Taken together,these reports suggest that intramedullary nailing resulted in more complications compared with plate fixation for humeral shaft fractures,particularly when the antegrade approach was used. These report do not provide strong evidence for the superiority of either fixation method with regard to fracture union,prevention of infection,of overall upper extremity function.

关键词： humeral shaft fractures Fracture fixation,internal Intramedullary nail Plate fixation

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Fracture Union in Closed Interlocking Nail in humeral shaft fractures

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中华医学杂志(英文版) 2015年第11期128卷 1428-1432页

作者： Sahu Ramji Lal Ranjan Rajni Lal Ajay Department of Orthopaedics SMS and RI Sharda University Greater Noida Uttar Pradesh India

Background: Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft ***: This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda University from January 2010 to November 2013. Seventy-eight patients were recruited from emergency and out-patient department having a close fracture of humerus shaft. All patients were operated under general anesthesia and closed reamed interlocking nailing was done. All patients were followed for 9 ***: Out of 78 patients, 69 patients underwent union in 90–150 days with a mean of 110.68 days. Complications found in four patients who had nonunion, and five patients had delayed union, which was treated with bone grafting. All the patients were assessed clinically and radiologically for fracture healing, joint movements and implant failure. The results were excellent in 88.46% and good in 6.41% patients. Complete subjective, functional, and clinical recovery had occurred in almost 100% of the ***: The results of the present study indicates that in the presence of proper indications, reamed antegrade intramedullary interlocked nailing appears to be a method of choice for internal fixation of osteoporotic and pathologic fractures.

关键词： Bone Grafting Close Reamed Interlocking Nail humeral shaft fractures Union

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Fracture Union in Closed Interlocking Nail in Humera shaft fractures

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Chinese Medical Journal 2015年第11期 1428-1432页

作者： Ramji Lal Sahu Raini Ranjan Ajay Lal Department of Orthopaedics SMS and RI Sharda University Greater Noida Uttar Pradesh India

Background： Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft fractures. Methods： This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda University from January 2010 to November 2013. Seventy-eight patients were recruited from emergency and out-patient department having a close fracture of humerus shaft. All patients were operated under general anesthesia and closed reamed interlocking nailing was done. All patients were followed for 9 months. Results： Out of 78 patients, 69 patients underwent union in 90-150 days with a mean of I 10.68 days. Complications found in four patients who had nonunion, and five patients had delayed union, which was treated with bone grafting. All the patients were assessed clinically and radiologically for fracture healing joint movements and implant thilure. The results were excellent in 88.46% and good in 6.41% patients. Complete subjective, functional, and clinical recovery had occurred in almost 100% of the patients. ConcLusions： The results of the present study indicates that in the presence of proper indications, reamed antegrade intramedullary interlocked nailing appears to be a method of choice for internal fixation ofosteoporotic and pathologic fractures.

关键词： Bone Grafting Close Reamed Interlocking Nail humeral shaft fractures Union

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