Advances in the treatment of humeral shaft fractures.docVIP

 PAGE \* MERGEFORMAT 8 Advances in the treatment of humeral shaft fractures [Abstract] humeral shaft fracture is a common one fracture. Treatment, including non-surgical treatment and surgical treatment. Non-surgical treatment, including a hanging cast, plate, functional support, surgical treatment, including external fixation, internal fixation (screws , screw + plate, intramedullary nail. The treatment method has advantages and disadvantages. I think: conservative treatment of humeral shaft fractures, although certain, but internal fixation has become the dominant method of treatment. [Keywords:] humeral shaft fractures, treatment options, efficacy analysis Humeral shaft fracture is a common one fracture, accounting for 1.31% of total body fracture, due to the anatomy of the upper arm and the special role of gravity sag, so that humeral shaft fractures complicated by nerve injury rate and higher rate of fracture nonunion. Now overview on the treatment of fractures are summarized below. A non-surgical treatment Neurovascular injury do not merge the majority of closed humeral shaft fractures treated conservatively obtain satisfactory results, conservative treatment, including a hanging cast, plate, functional support, skin traction, skeletal traction, outreach and shoulder spica cast. However, we prefer the upper arm hanging cast or splint bone. Foreign Stewart and Hundley reported 107 cases of humeral fracture fixation using the upper arm hanging cast 94% of the patients good results. Pennsylvania Orthopaedic Hospital reported 159 cases of humeral shaft fractures forearm hanging cast immobilization in patients treated with 96% effective. hanging cast for neurovascular injury-free long oblique or spiral shaft fracture, results were satisfactory and economical, easy to operate [1]. Disadvantages: heavy, easy to cause patient discomfort and shoulder dysfunction. osteosynthesis splint for humeral shaft in 1 / 3 fractures fixed effects better. requir