[1]向刚刚,曹鹏,吴若冰,等.“漂浮法”闭合复位治疗儿童尺桡骨双骨折的临床研究[J].中国中医骨伤科杂志,2023,31(04):51-55.[doi:10.20085/j.cnki.issn1005-0205.230410 ]
　XIANG Ganggang,CAO Peng,WU Ruobing,et al.Clinical Study of Closed Reduction under the Guidance of “Floating Method” in Treating both Ulna and Radius Fractures in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(04):51-55.[doi:10.20085/j.cnki.issn1005-0205.230410 ]
点击复制

“漂浮法”闭合复位治疗儿童尺桡骨双骨折的临床研究()
分享到：

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

卷:
第31卷
期数:
2023年04期
页码:
51-55
栏目:
临床研究
出版日期:
2023-04-15

文章信息/Info

Title:
Clinical Study of Closed Reduction under the Guidance of “Floating Method” in Treating both Ulna and Radius Fractures in Children
文章编号:
1005-0205(2023)04-0051-05
作者:
向刚刚1; 曹鹏1; 吴若冰1; 吴瑞瑞1; 袁春1; 王淑天2; 高启龙1; 陈建琨1△; 谢忠文1; 曹博3; 付义1
1昆明市中医医院骨伤科(昆明,650011) 2昆明市盘龙区人民医院中医科 3沈阳医学院
Author(s):
XIANG Ganggang1; CAO Peng1; WU Ruobing1; WU Ruirui1; YUAN Chun1; WANG Shutian2; GAO Qilong1; CHEN Jiankun1△; XIE Zhongwen1; CAO Bo3; FU Yi1
1Department of Orthopedics and Traumatology,Kunming Hospital of Traditional Chinese Medicine,Kunming 650011,China; 2Department of Traditional Chinese Medicine,Panlong District People's Hospital,Kunming 650011,China; 3Shenyang Medical College,Shenyang 110141,China.
关键词:
漂浮法;  手法复位;  尺桡骨双骨折;  儿童骨折
Keywords:
floating method;  manipulation reset;  both ulna and radius fractures;  fractures in children
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.230410
文献标志码:
A
摘要:
目的:探讨“漂浮法”指导下闭合复位治疗儿童尺桡骨双骨折的临床疗效。方法:选取2019年3月至2022年3月收治的尺桡骨双骨折患者143例,按照治疗方法分为手法组(69例)和手术组(74例),手法组均基于“漂浮法”进行手法复位,手术组均进行内固定治疗,两组患者治疗后均指导功能康复锻炼。比较两组治疗后的前臂功能,治疗后第2,4,6,10周桡骨联合评分系统(RUSS)评分及两组并发症。结果:两组患者治疗后前臂功能的优良率差异无统计学意义(P>0.05); 手法组在治疗后第2,4,6周时RUSS评分均高于手术组,差异有统计学意义(P<0.05); 两组治疗后10周内并发症差异无统计学意义(P>0.05)。结论:基于“漂浮法”闭合复位和手术内固定治疗儿童尺桡骨双骨折均能取得良好的治疗效果,手法复位具有操作简单、骨痂生长快、避免手术疤痕及术口感染等优势,适合在基层医院推广应用。
Abstract:
Objective:To explore the clinical efficacy of closed reduction under the guidance of “floating method” in treating both ulna and radius fractures in children.Methods:143 patients with double fractures of radius and ulna were selected from March 2019 to March 2022.They were divided into 69 cases of manipulation group and 74 cases of operation group according to the treatment method.The manipulation group was treated with “floating method” for manual reduction,the operation group was treated with internal fixation,and the patients in both groups were guided with functional rehabilitation exercise after treatment.The forearm function,radius union scoring system(RUSS)score and complications of the two groups at the 2nd,4th,6th and 10th week after treatment were compared.Results:There was no significant difference in the excellent and good rate of forearm function between the two groups after treatment(P>0.05).The RUSS scores of the manipulation group were significantly higher than those of the surgery group at 2,4,and 6 weeks after treatment(P<0.05).There was no significant difference in complications between the two groups within 10 weeks after treatment(P>0.05).Conclusion:Both closed reduction and surgical internal fixation based on the “floating method” can achieve good therapeutic efficacy in treating both ulna and radius fractures in children.Manual reduction has the advantages of simple operation,rapid callus growth,and avoiding problems such as surgical scars and surgical mouth infection,which is suitable for promotion in primary hospitals.

参考文献/References:

[1] 韩赛平,郑许飞,李维,等.钛制弹性髓内钉治疗儿童前臂骨折的临床观察[J].创伤外科杂志,2017,19(1):43-45.
[2] 张伦广,郑志刚,潘三元,等.牵拉按压分骨正骨手法结合弹性髓内钉治疗儿童尺桡骨中段骨折42例[J].中国中医骨伤科杂志,2022,30(2):57-60.
[3] 肖亮,孙志波,禹志宏,等.闭合复位弹性髓内针固定治疗儿童尺桡骨双骨折的策略及疗效观察[J].局解手术学杂志,2019,28(2):117-120.
[4] GREEN N E,SWIONTKOWSKI M F.创伤骨科学:儿童卷[M].马信龙,冯世庆,李世民,等译.4 版.天津:天津科技翻译出版有限公司,2016:175-176.
[5] 周孙章,林高鸥.中医正骨手法复位与切开复位治疗儿童闭合性尺桡骨双骨折疗效比较[J].福建中医药,2021,52(6):58-59.
[6] 王亦璁,姜保国.骨与关节损伤[M].5版.北京:人民卫生出版社,2012:868.
[7] 周汝寿,常敏,陈静刚,等.根据原始创腔理论创立漂浮正骨法整复前臂双骨折理论探析[J].四川中医,2014,32(1):63-65.
[8] 胡永成,邱贵兴,马信龙,等.骨科疾病疗效评价标准[M].北京:人民卫生出版社,2012:34.
[9] SHAUN P,PATE L,SHAW N G,et al.Radiographic scoring system to evaluate union of distal radius fractures[J].Journal of Hand Surgery,2014,39(8):1471-1479.
[10] 黎丹东,王华民,李琳琳,等.闭合复位经皮克氏针内固定治疗儿童尺桡骨远端骨折[J].临床骨科杂志,2021,24(6):845-847.
[11] 盛红枫,陆建伟,郭峭峰,等.闭合折顶整复手法结合夹板固定治疗儿童尺桡骨远端双骨折[J].中国骨伤,2021,34(2):153-156.
[12] 何建浩,刘爱峰,李海波,等.分骨、折顶手法整复结合小夹板固定治疗儿童尺桡骨中下段双骨折42例[J].湖南中医杂志,2020,36(7):56-58.
[13] KRUPPA C,BUNGE P,SCHILDHAUER T A.Low complication rate of elastic stable intramedullary nailing(ESIN)of pediatric forearm fractures:a retrospective study of 202 cases[J].Medicine,2017,96(16):e6669.
[14] 王邦,孙祥水.弹性髓内钉治疗儿童四肢长骨骨折后并发症的研究进展[J].中华创伤杂志,2019(3):282-288.

备注/Memo

备注/Memo:
基金项目:云南省中医(骨伤)临床医学中心建设项目
△通信作者 E-mail:313737926@qq.com
更新日期/Last Update: 2023-04-10