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Liquid purification, 2003,11 (2): 617. [2] Wang Haiyan. Nephrology [M]. 2. Beijing: People's Medical Publishing House, 1998:1534. * 1197 * [3] WANG Chen Gang. Blood purification [M]. Beijing: Science and Technology Press, 1992:94. '[Received: 2OO9-03-21 Editing: Wang Lina] three different fixation devices comparison of treatment of humeral shaft fractures a super-Que. Wang Hung (1. Liuzhou Medical College Second Affiliated Hospital of first surgery, Liuzhou, Guangxi 545006, China; 2. Bobai County Hospital of Orthopaedics, Bobai 537600) [Key words Bifurcated interlocking nail; antegrade intramedullary nail; compression plate; humeral fracture; fracture fixation with the rapid development of transport,[link widoczny dla zalogowanych], accident risk of humeral shaft fracture Erzhi shoulder back booster l5. So, the routine disinfection and wrap towels and surgical patients with open reduction and also to rise, humeral fracture is already more common orthopedic bone fixation. The intramedullary nail group with Lo being, QIU Gui-xing, etc ... one of intramedullary nail fold. I l0 Branch in January 2001 ~ July 2008 INTERLOCKING fixed by the bifurcation method recommended open reduction and internal fixation. Within the three different intramedullary nails, antegrade intramedullary nailing and compression plate fixation device in three different fixation method of treatment, the author from the average incision length,[link widoczny dla zalogowanych], operative time, blood loss treatment hand 45 cases of humeral shaft fractures , have achieved satisfactory results, and the effect into the amount of blood transfusion, postoperative drainage, etc. were compared. Table 1. Line comparison, are as follows. 1 Data and methods 1.1 General information: The group of 45 cases, 32 male and female l3, aged 2l a 77-year-old, mean 35 years; 18 cases left, right, 27 cases were closed fractures of fresh . Traffic accident in 37 cases,[link widoczny dla zalogowanych], falls injury in 8 cases; transverse fracture in 27 cases. 5 cases of oblique fracture, comminuted fracture l3 cases. L injury time for a 13d, the average 5d. Surgery were randomly divided into three groups treated with interlocking nail group Bifurcated l6 cases antegrade intramedullary nailing in 10 patients, compression plate group l9 cases. 1.2.1 Surgical treatment methods 1.2: line after the commencement of brachial plexus anesthesia, the patient supine on the operating bed,[link widoczny dla zalogowanych], wrapped in a three different methods of internal fixation after treatment comparison 1.2.2: After the limb super shoulder, elbow, wrist plaster care after external fixation of Cut at 24-48h drainage tube removed, l2-14d stitches the skin incision and removal of plaster splints to the upper arm to protect small. 2 results were followed up 6 months, 45 patients were fracture healing. With fracture healing: Bifurcated interlocking nail group 3-8 months, the average time of 4.5 months; antegrade intramedullary nail group,[link widoczny dla zalogowanych], 5 to l0 months, the average time of 6 months; A compression plate group l3 8 months, the average time l0 months. Shoulder and elbow function was normal. There were no broken nails and a case of nail infection, and no broken plates and screws and other bending phenomenon. Note: The default comparison with the fork-type bone marrow ① dead <O. 053 cases discussed by this group, and the treatment of humeral shaft fracture fixation Regardless of what kind of equipment has its advantages and disadvantages. Internal fixation with compression plate, although easy to operate, but are a partial Ii, of the internal fixation. Greater trauma, bleeding more. Longer operation time, easy to damage the broken screw, steel and easy bending, excessive periosteal stripping, fracture healing is slow, but more commonly on the plate before the lateral humerus. Happens to be passing at the radial nerve, radial nerve injury when patients fear for, easy to cause radial nerve palsy [2】, but also need to undergo the trauma of taking steel plates. The use of intramedullary fixation is a center of fracture fixation. Stress shielding, stable fixation, but the damage inside and outside the periosteum of the humerus, will also affect fracture healing. In addition, the need to open all the other suffering from shoulder lateral nail IZl cause, will affect the shoulder joint function and aesthetics, etc., especially antegrade intramedullary nail distal cross-locking screw easily lead to blood vessels, nerves injury. The fork-type bifurcation was distal interlocking nail samples of distal humerus fracture fixation, the fractures in relatively remote circumstances stationary growth healing 【. It, but the remote branch needle is easy to slip back needle fracture separation, rotation is its biggest drawback, but the operation is relatively easy to minimize damage if applied after external fixation for limb strengthening the protection, treatment is more satisfactory. In short, the three internal fixation devices can be humeral shaft fracture fixation. But I think that, if the comminuted humeral shaft or long oblique fracture, the best choice Bifurcated treated with interlocking nail group, because the damage minimal, less bleeding, the effect
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