[1]马莉,张金东△,张家雯,等.旋前位折顶手法整复夹板外固定治疗儿童尺桡骨下端骨折127例[J].中国中医骨伤科杂志,2024,32(02):72-75.[doi:10.20085/j.cnki.issn1005-0205.240213]
　MA Li ZHANG Jindong ZHANG Jiawen HU Xiaojing DU Maida.Treatment of 127 Cases of Distal Ulnar and Radial Fractures in Children by External Fixation with a Small Splint after Fold-Top Manipulation in the Rotated Anterior Position[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(02):72-75.[doi:10.20085/j.cnki.issn1005-0205.240213]
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旋前位折顶手法整复夹板外固定治疗儿童尺桡骨下端骨折127例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年02期
页码:
72-75
栏目:
临床报道
出版日期:
2024-02-15

文章信息/Info

Title:
Treatment of 127 Cases of Distal Ulnar and Radial Fractures in Children by External Fixation with a Small Splint after Fold-Top Manipulation in the Rotated Anterior Position
文章编号:
1005-0205(2024)02-0072-04
作者:
马莉1; 张金东1△; 张家雯2; 户晓静1; 杜麦达1
1宁夏张氏正骨医院(银川,750001); 2北京中医药大学第三附属医院
Author(s):
MA Li1 ZHANG Jindong1△ ZHANG Jiawen2 HU Xiaojing1 DU Maida1
1Zhang's Orthopaedic Hospital of Ningxia,Yinchuan 750001,China; 2Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China.
关键词:
尺桡骨双骨折;  手法整复;  小夹板;  儿童
Keywords:
distal ulnar and aadial fractures;  manual rehabilitation;  small splint;  children
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.240213
文献标志码:
B
摘要:
目的:观察旋前位折顶手法整复联合小夹板外固定治疗儿童尺桡骨下端骨折的临床疗效。方法:127例新鲜、闭合性、无血管及神经损伤的尺桡骨下端骨折的患儿,均采用旋前位折顶手法整复联合小夹板外固定治疗。结果:127例患儿均获随访,随访时间为3～8个月,平均为6个月; 骨折均在4～6周愈合,未发生血管神经损伤等并发症。依据Anderson 前臂骨折疗效评价标准评价临床效果:优79例,良44例,可4例,优良率为96.9%。结论:旋前位折顶手法整复联合小夹板外固定治疗儿童尺桡骨下端骨折,提高了复位成功率及骨折端稳定性,安全性高,临床效果显著,无并发症等不良反应,值得临床推广应用。
Abstract:
Objective:To investigate the clinical efficacy of using the combination of rotational anterior fold-top manipulation and small splint external fixation in the treatment of distal ulnar and radial fractures in children.Methods:127 children with fresh,closed fractures of the distal ulnar and radial bones without vascular or nerve injury were treated with anterior rotational fracture topping combined with external fixation of small splints.Results:All 127 children were followed up for 38 months,with an average of 6 months.The fractures healed in 46 weeks without complications such as vascular or nerve injury.The clinical results were evaluated according to Anderson's criteria for evaluating the efficacy of forearm fractures.79 cases were excellent,44 cases were good,and 4 cases were acceptable,with an excellent rate of 96.9%.Conclusion:The treatment of children's lower ulnar radius fracture by the combination of anterior rotation fracture top manipulation and small splint external fixation can improve the success rate of repositioning and the stability of the fracture end.This method has high safety,significant clinical effect and no complications and other adverse effects,which is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目:银川市科技支撑项目(2023SF30)
宁夏回族自治区级学术技术带头人项目(银人才发〔2020〕5号)
△通信作者 E-mail:18809510666@163.com
更新日期/Last Update: 2024-02-15