[1]曹谦,李巍△,曹慎,等.内翻推顶手法配合小夹板外固定治疗儿童桡骨颈骨折23例[J].中国中医骨伤科杂志,2023,31(12):64-66.[doi:10.20085/j.cnki.issn1005-0205.231213]
　CAO Qian,LI Wei,CAO Shen,et al.23 Cases of Children's Radial Neck Fractures Treated with Inverted Pushing Top Technique Combined with Small Splint External Fixation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(12):64-66.[doi:10.20085/j.cnki.issn1005-0205.231213]
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内翻推顶手法配合小夹板外固定治疗儿童桡骨颈骨折23例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年12期
页码:
64-66
栏目:
临床报道
出版日期:
2023-12-15

文章信息/Info

Title:
23 Cases of Children's Radial Neck Fractures Treated with Inverted Pushing Top Technique Combined with Small Splint External Fixation
文章编号:
1005-0205(2023)12-0064-03
作者:
曹谦1; 李巍1△; 曹慎1; 杨韵琴1; 齐权律1; 汤智1; 李翔1
1湘潭市中医医院(湖南 湘潭,411100)
Author(s):
CAO Qian1; LI Wei1△; CAO Shen1; YANG Yunqing1; QI Quanlü1; TANG Zhi1; LI Xiang1
1Xiangtan Chinese Medicine Hospital,Xiangtan 411100,Hunan China.
关键词:
桡骨颈骨折;  手法复位;  小夹板;  歪带帽
Keywords:
radial neck fracture;  manual reduction;  small splint;  crooked cap
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.231213
文献标志码:
B
摘要:
目的:探讨内翻推顶手法配合小夹板外固定治疗儿童桡骨颈骨折的治疗技巧并分析其临床疗效。方法:选取儿童桡骨颈骨折患者23例,采用内翻推顶手法配合小夹板外固定治疗,维持了骨折的复位,取得了良好的疗效。结果:23例患者均获随访,随访时间为6～36个月,中位数为14个月。骨折均顺利愈合,愈合时间为3～6周,中位数为5周。根据Metaizeau评价标准判定疗效。23例术后影像学随访结果提示骨折端均获得骨性愈合,其中21例为优,2例为良; 未出现骨骺早闭、桡骨头缺血性坏死、尺桡关节融合等并发症。功能恢复:22例为优,1例为良,优良率为100%。结论:内翻推顶手法配合小夹板外固定治疗儿童桡骨颈骨折,临床疗效确切,患者痛苦少,接受度高,是一种值得推广的治疗方法。
Abstract:
Objective:To explore the treatment techniques and analyze the clinical efficacy of the inversion pushing technique combined with small splint external fixation for the treatment of radial neck fractures in children.Methods:23 children with radial neck fractures were selected and treated with inversion pushing technique combined with small splint external fixation,which effectively maintained the reduction of the fractures and achieved good function.Results:All 23 patients in this group were followed up for 636 months,with a median of 14 months.The fractures all healed smoothly,with a healing time of 36 weeks and a median of 5 weeks.The therapeutic effect was determined according to the Metaizeau evaluation criteria.The postoperative imaging follow-up results of 23 cases showed that bone healing was achieved at the fracture ends,with 21 cases being excellent and 2 cases being good.There were no cases of complications such as premature closure of the epiphyses,ischemic necrosis of the radial head,or fusion of the ulnar radial joint.Functional recovery:22 cases were excellent,1 case was good,and the excellent and good rate was 100%.Conclusion:The combination of inversion and pushing technique with small splint external fixation for the treatment of radial neck fractures in children has a definite clinical effect,minimal patient pain,and high acceptance.It is a treatment method worth promoting.

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备注/Memo

备注/Memo:
基金项目:湖南省中西医结合骨伤临床医疗技术示范基地项目(2023SK4064)
湖南省中医药学科带头人项目
△通信作者 E-mail:771900504@qq.com
更新日期/Last Update: 2023-12-10