【摘要】 目的 总结我院使用微创闭合穿钉外固定架治疗肱骨骨折46例的体会。方法 全部病例均在DSA透视下进行闭合复位并结合我们改进的技术安置外固定支架固定，术后早期进行患肢功能锻炼。结果 有病例均无桡神经手术损伤并发症，在42例随访病例中，总优良率达95%，取得了满意的疗效。结论 该微创手术方法对治疗肱骨干中段、中下段各类型骨折，都是一种操作简单、安全适用、牢固有效的固定方法，避免了切开复位可能带来的医源性损伤和二次手术之苦。

    关键词 微创 外固定支架 肱骨骨折

    Application of minimally invasive therapy with external fixator in the treatment of humeral shaft fracture

    WuLihua，Wu Jiang

    The Second Department of Orthopedics，The105th Hospital of Chinese PLA，Hefei230031.

    【Abstract】 Objective To summarize our experience in the applications of miniamlly invasive therapy suregery with close reduction and external fixator in the treatment of46patients with humeral shaft fracture.Methods All cases were treated with close reduction under the guidance of digital subtraction angiography(DSA)and fixed by external fixator according to our improved skill.They performed excises for their ill arm function at early stage.Results There was no complication of radial nerve injuries for all patients.Of42cases followed up ......