复位自锁髓内钉与双钢板固定治疗肱骨干骨折的效果比较

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Abstract Objective To explore the efficacy of reduction self-locking intramedullary nails and double-plate fixation in the treatment of humeral shaft fractures.Methods A total of 68 patients with humeral shaft fracture treated in our hospital from January 2017 to October 2017 were selected as the subjects,and divided into study group and control group by single and double digit table method,34 cases in each group.The control group was fixed with double plates,and the study group was fixed with reduction self-locking intramedullary nail.The clinical effects were compared between the two grups.Results The amount of intraoperative blood loss of the study group was significantly less than that in the control group(P<0.01).The operation time and postoperative fracture healing time of the study group were significantly lower than those of the control group(P<0.05).The postoperative pain,muscle strength and total score of Constant-Murley shoulder function score of the study group were significantly higher than the control group (P<0.05).The pain,active function and total score of hospital for special surgery score of the study group were significantly higher than those of the control group (P<0.05).Conclusion The reduction self-locking intramedullary nail compared with double plate fixation in the treatment of humeral shaft fracture has less blood loss during operation,short operation time,quick postoperative fracture healing,good postoperative shoulder and elbow joint function.It is worthy of application.

Key words： Reduction self-locking intramedullary nail Double plate fixation Humeral shaft fracture

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	LAI Fu-sheng

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LAI Fu-sheng. Comparison efficacy of reduction self-locking intramedullary nail and double plate fixation in the treatment of humeral shaft fracture[J]. 中国当代医药, 2018, 25(28): 106-108转112.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I28/106

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