Primary Hospital humeral fractures Methods.doc

 PAGE \* MERGEFORMAT 7 Primary Hospital humeral fractures Methods Of: Zhang Jie, Li Su, Xu deduction, Feng Qide, Jiao Hong-new Hanyu Hu, Zhang Baoyu, Shen was good, Zhao Yong [Abstract] Objective To explore a simple and effective humeral fracture fixation. Methods from 1998 to 2006 were 186 cases of humeral shaft fractures using external fixator, plate, interlocking intramedullary nailing, and the efficacy of postoperative complications were observed. Results followed up for 6 to 18 months, from the excellent rate of fracture healing rates, complications and postoperative evaluation of non-union rate, etc., external fixation is superior to interlocking nail fixation is superior to interlocking nail plate . Conclusions external fixation is the primary hospital for treatment of humeral shaft fracture an ideal method. [Keywords:] humeral fractures, external fixation, internal fixation Humeral shaft fracture is one of common clinical fractures, accounting for 1.3% of the total body fractures [1], where nonunion rate of about 20% [2]. Most can be treated conservatively [3], but moved to fracture Bit obvious, there is soft tissue embedded in or associated with neurovascular injury, claim to do the same vessel and nerve exploration line fixation. 1 Clinical data 1.1 General information 1998 to 2006 we have 186 cases with surgical treatment of humeral shaft fractures, of which 106 patients treated with external fixation, plate fixation in 64 cases, 16 patients treated with interlocking nails. 1.2 Procedures 1.2.1 The external fixator group of 106 patients in this group, male 63, female 43 cases, the maximum age of 84 years, minimum 5 years of age. Closed reduction in 16 cases, 8 cases of nerve exploration. The groups were made Unilateral multifunctional external fixation stents, the use of brachial plexus anesthesia or general anesthesia. closed fracture reduction under X-ray, open fractures with vascular nerve injury, duct exploration vess