homemade bow nail and tension band wiring in the treatment of humeral surgical neck fractures of 32 patients with analysis（自制的弓钉和张力带连接治疗肱骨外科颈骨折32例分析）.docVIP

Homemade bow nail and tension band wiring in the treatment of humeral surgical neck fractures of 32 patients with Analysis [Keywords:] humerus surgical neck fracture Keywords: surgical neck of humerus fractures, homemade bow-shaped nails, tension band wire Since 2000-2003, homemade bow screw tension band wiring in the treatment of humeral surgical neck fractures were 32 cases, good results are as follows. 1 clinical data 11 General information 32 patients, 19 males, 13 cases, ages 35 to 68 years, of which four cases of ipsilateral clavicle fracture combined forearm fractures in five cases, I simply humeral surgical neck orthopedic causes of injury accidents injured 15 cases , falls injury in seven cases of their own falls five sticks and wounded five cases, 32 cases were fresh fractures, injuries from the surgery for 2 h, ~ 5 d, an average of 22 days. no case of open fractures were closed fractures The Neer classification [1], two-part fractures in three cases, three-part fracture in 11 cases, four-part fractures, 18 cases more than 32 cases are homemade bow-shaped nails with tension band wire fixation. 12 preoperative preparation The preoperative proactive qualified anteroposterior X-ray films, a diameter of 3 to 35 mm Kirschner wire, steel wire and internal fixation devices such as. 13 treatment 32 cases of high brachial plexus anesthesia, supine, take the anterior medial curved incision in the deltoid and pectoralis major gap separately, the protection of the cephalic vein, if necessary, deltoid clavicle edge separation to increase surgery revealed confirm the long head of biceps and the size of the nodules, as little as possible periosteal stripping, to fully reveal the fracture, pulling or poking reduction and satisfied, surgery according to the needed diameter ~ 3 to 35 mm Kirschner wire self-made bow above the break into the groove between the nail since the size of the nodules, 4 to 5 cm in the holes and then away from the