Treatment of Concomitant Ipsilateral Fractures of the Humerus and Forearm

同側上臂及前臂骨骨折之治療

陳吳坤(W. K. Chen) ； 賴建宏(J. H .Lai) ； 黃俊雄(C. H. Huang) ； 蘇榮源(J. Y. Su) ； 董振槙(J. J. Tung)

《Journal of Orthopaedic Surgery Taiwan》 4卷1期 (1987/03) Pp. 22-26

摘要

自民國64年1月至72年12月，馬偕醫院治療46位同側肱骨及前臂骨骨折的病人，分成兩組，第一組：同側肱骨及前臂骨骨折不傷及肱關節，第二組：同側肱骨及前臂骨骨折並傷及肘關節。
肱骨骨折的治療：第一組以徒手復位及石膏固定或手術治療骨髓內釘固定。第二組都是手術復位及內固定。
前臂骨骨折除了橈骨遠端外，不論第一組或第二組都是手術復位及內固定。
其結果在關節活動範圍方面第一組比第二組好，而第一組中不論手術與否其肘關活動範圍沒有明顯差別。所有無癒合骨折無論肱骨或前臂骨都是需要再手術治療的。

並列摘要

We treated fory-six patints of ipsilateral fractures of the humerus and forearm from Jan. 1975 to Dec. 1983. They were divided into two groups. Group I was humerus and forearm fractures without concomitant elbow injury, and group II was humerus and forearm fractures with concomitant elbow injury.
Humerus fractures of group I was treated by closed reduction with hanging cast or closed nailing with rush pins, and group II was treatd with open reduction and internal fixation.
Displaced forearm fractures of both groups, esxcept the disal radius fractures, were all treated with open reduction and internal fixation.
The resulting motion-range of elbow in group I was beter than that in group II. surgery or not in group I made no significant difference in the motion-range of elbow. all the non-union fractures, both humerus and forearm, were operative.

並列關鍵字

concomitant ipsilateral racture