骨外固定術治療複雜性肱骨骨折（22例臨床報告）

External Skeletal Fixation for Complicated Humeral Fractures (22 Cases Clinical Report)

翁文能(Wen-Neng Ueng) ； 施俊雄(Chun-Hsiung shih)

《Journal of Orthopaedic Surgery Taiwan》 5卷2期 (1988/06) Pp. 130-136

摘要

長庚紀念醫院骨科，自1980至1984年，4年期間，一共有22例肱骨骨折，接受骨外固定術治療。包括Type Ш 開放性肱骨骨折17例，及肱骨骨折合併感染5例。年齡由17歲至70歲不等。平均骨外固定器使用時間是103天。其中17例在本院治療至骨折癒合，未接受植骨術者13例，其平均骨折癒合時間是4.5月；接受植骨術者4例，其平均骨折癒合時間是6.5月。使用骨外固定術期間，對於局部傷口的處理，合併器官傷害的照顧，都能發揮出極大的功效。由本篇的臨床經驗，我們認為，對於少數複雜性的肱骨骨折，骨外固定術是值得選用的一種治療方法。

關鍵字

骨外固定術 ； 開放性肱骨骨折 ； 肱骨骨折合併感染

並列摘要

There were 17 cases of type Ш open humeral fractures and 5 cases infected humeral fractures treated with the external skeletal fixation in Chang Gung Memorial Hospital between 1980 and 1984. The age was from 7 to 70 years old (aerage 35 years). The average external fixation time was 103 ays. Seventeen cases were followed up until fracture union. The average union time without bone graft group (13 cases) was 4.5 months. The average union time with bone graft group (4 cases) was 6.5 months. The external skeletal fixator provided stable fracture fixation and early mobilization which facilitated critical care of polytrauma victims, local wound management and staged soft tissue reconstruction. From this study, we concluded that the external skeletal fixation is a good method for complicated humeral fractures.