[1]马莉 张金东△ 张家雯 马春芳.手法整复结合软硬夹板续增固定治疗儿童肱骨髁上骨折112例[J].中国中医骨伤科杂志,2021,29(06):54-58.
　MA Li ZHANG Jindong ZHANG Jiawen MA Chunfang.Treatment of Supracondylar Fracture of Humerus in 112 Children byManual Rectification Combined with Soft and Hard Splint[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(06):54-58.
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手法整复结合软硬夹板续增固定治疗儿童肱骨髁上骨折112例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年06期
页码:
54-58
栏目:
临床报道
出版日期:
2021-06-15

文章信息/Info

Title:
Treatment of Supracondylar Fracture of Humerus in 112 Children byManual Rectification Combined with Soft and Hard Splint
文章编号:
1005-0205(2021)06-0054-05
作者:
马莉1 张金东1△ 张家雯2 马春芳1
1宁夏张氏回医正骨医院(银川,750001)2北京中医药大学
Author(s):
MA Li1 ZHANG Jindong1△ ZHANG Jiawen2 MA Chunfang1
1The Hui Osteopital Hospital of Ningxia,Yinchuan 750001, China; 2Beijing University of Chinese Medicine, Beijing 100029, China.
关键词:
软硬夹板;  肱骨髁上骨折;  手法复位
Keywords:
hard and soft splint;  supracondylar fracture of humerus;  manual reduction
分类号:
R683.41
文献标志码:
B
摘要:
目的:观察伸直型儿童肱骨髁上骨折应用手法整复结合软硬夹板续增外固定治疗的有效性及安全性。方法:选取112 例 Gartland Ⅱ 型和 Ⅲ 型,无神经、血管损伤的伸直型儿童肱骨髁上骨折患者,均采取手法整复结合软硬夹板续增外固定治疗。结果:112 例患者均在3～4周愈合,参照Flynn疗效评价标准及Mayo功能评价表对肘关节功能评价,其中优102例,良8例,可2例,优良率达98.2%。112例患者均获随访,随访时间3～12个月,所有患者均无肘内翻、缺血性肌挛缩、骨化性肌炎、前臂筋膜室综合征等并发症。结论:手法整复结合软硬夹板续增外固定可有效维持和提高骨折端的牢固性及稳定性,临床疗效显著,是一种较为理想的治疗方法。
Abstract:
To investigate the clinical efficacy and safety of manipulative reconstruction with gradually use soft and hard splint in treating supracondylar fracture of humerus.Methods:112 children with supracondylar fractures of the humerus were selected and treated with manipulative reconstructive combined with soft and hard splint followed by external fixation.Results:All the 112 children were healed within 3 to 4 weeks. Elbow joint function evaluation showed that 102 were excellent, 8 were good, and 2 was fair according to Flynn efficacy evaluation criteria and Mayo functional evaluation. The excellent and good rate was 98.2%. All the 112 children were followed up for 3 to 12 months, and all the patients had no complications of varus cubosus, ischemic muscle contracture, ossification myositis, and forearm compartment syndrome. Conclusion:Manipulative reconstruction with gradually use soft and hard splint can effectively maintain and improve the firmness and stability of the fracture end, which has significant clinical efficacy and is an ideal treatment option.

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备注/Memo

备注/Memo:
基金项目:宁夏回族自治区重点研发项目(2019BEG03028)
△通信作者 E-mail:18809510666@163.com
更新日期/Last Update: 2021-06-15