- 期刊
Ender 是釘治療肱骨骨幹骨折之臨床應用
Ender Nailing of Humeral Shaft Fractures
摘要
本院骨枓自1991年3月至1992年6月止，選擇性為13例肱骨骨折病患，以閉鎖式復位及 Ender 氏釘因定。這些病急均是因重大車禍，高處拌落合併有其他肢體骨折，頭部外傷等因素而接受手術。手術方法係依據 Hall and Pankovich 分為 antegrade 及 ret - rograde，在 C-arm 底下探作，平均手術時問 104 分鐘（向 70 至 160 分鐘），平均出血量小游 100 毫升。經過一年以上的追蹤，共得 12 例，結果有 11 例癒合（ 91.6 % ）。手術稜併發症包括有打子滑脫兩例，手術中引委新骨折一例，沒有傷口感染，也沒有梡神經傷害。我們認為肱骨骨折需要手術治療時， Ender 氏釘是一個好選擇。它的優點是手術過程簡單，同時可以減少感染及不癒合的機會。From March 1991
關鍵字
無資料並列摘要
From March 1991 to June 1992, thirteen patients with humeral shaft fracture were man-aged at our hospital with clodsed reduction and internal fixation with Ender nails. These pa-tients were mainly victims of traffic accidents and falls and had fractures, head injuries, and chest trauma. The follow-up period was more than 1 year. Operations were performed under C-arm guide and, according to the method of Hall and Pankovich, divided in into antegrade and retrograde methods. The average operation time was 104 minutes, from 70 to 160 minu-tes, and blood loss was less than 100 ml. Twe-lve patients were available for follow-up with 11 unions (91.6%), and the functional results were satisfactory. Complications included 2 nails backing out and one iatrogenic fracture. There was no infection and no radial nerve injury. We concluded that for those humeral shaft fractures with surgical indication, Ender nailing was a good choice. The advantages include a simple procedure, lower infection rate and less nonuni-ons.
延伸閱讀
- 王德源、林茂仁、何火煉（1990）。以Ender氏骨釘治療骰骨轉子間骨折之臨床經驗。Journal of Orthopaedic Surgery Taiwan，7(2)，124-131。https://www.airitilibrary.com/Article/Detail?DocID=10116923-199006-7-2-124-131-a
- Hou, S. M., & Lin, J. (2004). 以骨節間鋼絲強化鎖定內釘治療肱骨未癒性骨折：生物力學及臨床研究. Journal of the Formosan Medical Association, 103(11), 836-843. https://doi.org/10.29828/JFMA.200411.0004
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- Lin, K. A., Chen, P. Q., & Gu, H. S. (1985). Huckstep骨釘系統之臨床應用. Journal of Orthopaedic Surgery Taiwan, 2(2), 45-57. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198506-2-2-45-57-a
- Chang, I. W., Chen, S. C., & Sun, J. S. (2000). Humeral Shaft Fracture in Arm Wrestling A Case Report. 中華民國急診醫學會醫誌, 2(2), 47-51. https://www.airitilibrary.com/Article/Detail?DocID=15623386-200009-2-2-47-51-a