Inflatable self-locking intramedullary nailing of comminuted fracture of humeral shaft clinical observation.docVIP

 PAGE \* MERGEFORMAT 7 Inflatable self-locking intramedullary nailing of comminuted fracture of humeral shaft clinical observation [Keywords:] humeral shaft fracture Humeral shaft fracture is a common fracture of one of the human body. Court applications can be expanded self-locking intramedullary nailing of humeral shaft fractures to achieve satisfactory results, are reported below. 1 Data and methods 1.1 General information on our hospital from August 2005 to October 2006 treated 21 patients with humeral fractures, 13 males and 8 females, the oldest 78 years old, minimum 19 years old, mean age (32.5 ± 4.5) years of age. Trauma causes: 15 cases of traffic accident injury, machine injury in 2 cases, falls in 4 cases, with radial nerve injury in 2 cases. Fracture site: the upper humerus in 15 cases, humerus in the middle of 11 cases, six cases of lower segment of humerus. Fracture type: According to the AO / ASIF classification [1]: B-type in 18 cases, C-type in 3 cases. 19 cases of closed fractures, open fractures in 2 cases, Gustilo [2] Ⅱ degrees below open fractures in 3 cases. Fracture time: both fresh fractures. Operative time: All patients were operated within 14d, open fracture and patients with radial nerve injury were operated within 4h. 1.2 Methods 21 cases in this group have adopted the Israeli Disc-O-Tech’s development of self-locking expandable intramedullary nail (IM type), preoperative bilateral humeral length being proactive lateral X-ray films, according to the healthy side options myeloid nail length and diameter. Use of open reduction and antegrade insertion. All use of brachial plexus anesthesia, routine disinfection of shop towel, take 30 ° decumbens bit, will be the upper arm adduction internal rotation. First cut a small incision in fracture reduction, as little as possible stripping periosteum, dish-shaped bone fixation with wire or strapping tape. Re-acromion before incision, entrance is located in the medial humeral greater tube