การยึดตรึงกระดูกต้นแขนหักด้วย ender nail ในผู้ป่วยที่มีอาการบาดเจ็บหลายระบบ

บทคัดย่อ

Humeral shaft fractures are common injuries, accounting for approximately 3% of all fracture, a variety of treatment options for humeral shaft fractures have been studied but in some patients operative treatment was indicated such as in polytraumatized patient. Operative treatment with intramedullary fixation provided good results without soft-tissue dissection and less blood loss. From May, 2003 to May, 2007. 12 polytraumatized patients with humeral shaft fracture were treated by intramedullary fixation with Ender nail. The mean operating time was 41 minutes. The mean hospitalization time was 24 days. The mean time tor radiographic union was 74 days. The mean malalignment was 120 in the anteroposterior plane and 9° in the lateral plane. All patients achieve full range of motion without wound infection.

Conclusion Intramedullaw fixation of Humeral shaft fractures using ender mail in multiple traumatic patients provided good results without soft-tissue dissection, less blood loss, less operating time and can be done in general hospital.