[1]赵睿晞,邵亮.张氏骨伤正骨技术治疗四型儿童新鲜孟氏骨折34例[J].中国中医骨伤科杂志,2026,34(02):97-100.[doi:10.20085/j.cnki.issn1005-0205.260217]
 ZHAO Ruixi,SHAO Liang.34 Clinical Reports on Zhang's Treatment of Fresh Monteggia Fractures in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(02):97-100.[doi:10.20085/j.cnki.issn1005-0205.260217]
点击复制

张氏骨伤正骨技术治疗四型儿童新鲜孟氏骨折34例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年02期
页码:
97-100
栏目:
临床研究
出版日期:
2026-02-15

文章信息/Info

Title:
34 Clinical Reports on Zhang's Treatment of Fresh Monteggia Fractures in Children
文章编号:
1005-0205(2026)02-0097-04
作者:
赵睿晞1邵亮1
1杭州市富阳中医骨伤医院(杭州,311400)
Author(s):
ZHAO Ruixi1SHAO Liang1
1Hangzhou Fuyang Traditional Chinese Medicine Orthopedic Hospital,Hangzhou 311400,China.
关键词:
孟氏骨折 儿童 新鲜 手法整复 杉树皮夹板
Keywords:
Monteggia fractures children fresh manipulative reduction fir-bark splint
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.260217
文献标志码:
A
摘要:
目的:分析张氏骨伤正骨技术结合杉树皮夹板治疗四型儿童新鲜孟氏骨折的临床疗效。方法:采用张氏骨伤正骨技术对2023年1月至2024年6月收治的34例四型儿童新鲜孟氏骨折患儿进行手法整复+杉树皮夹板外固定治疗。观察治疗6周后的功能优良率、Broberg-Morrey(BM)评分、随访骨折愈合时间及并发症情况。结果:34例孟氏骨折患儿肘关节功能优良率为97.06%,功能恢复良好。结论:张氏骨伤正骨技术治疗四型儿童新鲜孟氏骨折的疗效明显,利于肘关节功能改善和骨折愈合,并减少并发症的发生。
Abstract:
Objective:To review and analyze the efficacy of Zhang's treatment for bone injury in children with fresh Monteggia fractures,including four types of fractures.Methods:From January 2023 to June 2024,34 cases of fresh Monteggia fracture in children were admitted to Zhang's bone injury clinic and received treatment including manipulative reduction and external fixation with a customized fir-bark splint.Functional excellence rate,Broberg-Morrey score,fracture healing time,and incidence of complications were observed after 6 weeks of treatment.Results:The excellent rate of elbow joint function of 34 children with Monteggia fractures is 97.06%,and the function recovered well.Conclusion:The curative effect of Zhang's treatment for bone injuries in children with four types of fresh Monteggia fractures is significant,as it helps improve elbow joint function and fracture healing,and reduces the occurrence of complications.

参考文献/References:

[1] 段海涛,刘秋亮,史龙彦,等.钢板内固定与外架固定治疗儿童Bado Ⅰ型陈旧性孟氏骨折疗效对比[J].郑州大学学报(医学版),2024,59(4):526-531.
[2] 刘源辉,叶林强,黄冬梅.闭合复位结合弹性钉内固定术对儿童孟氏骨折的疗效观察[J].医学理论与实践,2022,35(19):3338-3340.
[3] 薛继强,韩卢丽,尹利军,等.闭合复位双克氏针髓内固定治疗儿童新鲜BadoⅢ型孟氏骨折[J].中医正骨,2021,33(5):54-56.
[4] 王大璐,回丙盼,孙婕,等.手法复位石膏外固定治疗儿童孟氏骨折的疗效分析[J].中国骨与关节损伤杂志,2024,39(9):994-997.
[5] 王人彦,张玉良,孟春,等.富阳张氏正骨十二法简介[J].中医正骨,2014,26(8):71-73.
[6] BEATY J H,KASSER J R,FLYNN J M,et al.洛克伍德-威尔金斯儿童骨折[J].黄耀添,颉强,赵黎,等译.7版.北京:人民军医出版社,2014:420.
[7] 方玉明,倪慧英,张一鸣,等.张氏姜枝活血汤加减治疗急性肩袖损伤患者临床观察[J].浙江中西医结合杂志,2023,33(11):1019-1021.
[8] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:52.
[9] DELPONT M,JOUVE J L,SALES DE GAUZY J,et al.Proximal ulnar osteotomy in the treatment of neglected childhood Monteggia lesion[J].Orthopaedics & Traumatology:Surgery & Research,2014,100(7):803-807.
[10] 秦志明,希伦,王鹏,等.切开复位治疗儿童难复性BadoⅠ型孟氏骨折[J].实用骨科杂志,2022,28(2):159-162.
[11] 杨曦,徐永清,刘武华,等.环状韧带修复对儿童陈旧性孟氏骨折的影响[J].中国临床解剖学杂志,2023,41(4):470-474.
[12] 岳俊伊,唐伟,孙振中,等.闭合复位 “成功” 儿童孟氏骨折上尺桡关节的MRI表现[J].中华小儿外科杂志,2023,44(6):551-555.
[13] 卢磊,张大伟.孟氏骨折手法整复儿童桡骨头再脱位影响因素分析[J].中医药临床杂志,2022,34(4):735-737.
[14] 霍英才,段晓堃,孙一田.手法复位石膏外固定治疗儿童Bado Ⅲ型孟氏骨折[J].临床骨科杂志,2024,27(6):821-823.
[15] 胡翔.中医正骨联合手法复位外固定治疗桡骨远端骨折的疗效分析[J].现代诊断与治疗,2023,34(20):3026-3028.
[16] 胡志彦,吕伟胜,朱永峰.加味八珍汤对老年不稳定性股骨粗隆间骨折行PFNA内固定术患者气血亏虚型临床疗效及血清相关指标的影响[J].浙江中医杂志,2020,55(9):653-655.
[17] 陈强,何智南,李强,等.黄连解毒汤加减治疗跟骨骨折术前肿胀的临床研究[J].中医正骨,2024,36(4):5-10.
(收稿日期:2025-07-05)

备注/Memo

备注/Memo:
基金项目:杭州市医药卫生科技项目(B20231218)
更新日期/Last Update: 2026-02-15