自制偏心牵引带在桡骨远端骨折中的临床应用 |
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投稿时间:2012-12-25
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作者 | Author | 单位 | Address | E-Mail |
杨玉元 |
YANG Yu-yuan |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
601026769@qq.com |
杨静 |
YANG Jing |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
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张宏刚 |
ZHANG Hong-gang |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
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冯开义 |
FENG Kai-yi |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
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刘辉 |
LIU Hui |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
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余谦 |
YU Qian |
玉门市第一人民医院骨科, 甘肃 玉门 735200 |
Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China |
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期刊信息:《中国骨伤》2013年,第26卷,第8期,第693-695页 |
DOI:10.3969/j.issn.1003-0034.2013.08.018 |
基金项目: |
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中文摘要:
目的: 探讨自制手法复位工具应用于桡骨远端骨折的临床疗效。
方法: 自2011年2月至2012年6月,62例闭合性桡骨远端骨折,男26例,女36例;年龄6~83岁,平均48.5岁。其中Colles骨折59例,Smith骨折2例,Barton骨折1例。应用自制腕带-偏心牵引带手法复位后,结合小夹板及石膏外固定治疗。治疗后立即行X线检查评估疗效。
结果: 61例达到优良骨折复位标准,仅1例没有达到标准。62例患者获得随访,随访时间2~6个月,平均3.6个月,依据Dienst功能评估标准评价,优49例,良11例,可1例,差1例。
结论: 应用自制腕带-偏心牵引带为辅助工具手法复位桡骨远端骨折,骨折接近解剖对位,能显着提高手法复位成功率。 |
【关键词】桡骨骨折 手法,骨科 外固定器 |
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Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures |
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ABSTRACT
Objective: To observe the curative effect of self-made eccentric traction belt as a manipulative reduction tool in the treatment of the distal radial fracture.
Methods: From February 2011 to June 2012,62 patients with distal radial closed fractures were treated by manipulative reduction with self-made wristlet-eccentric traction belt and combined with the small splint and plaster external fixation. Among them,59 cases were Colles fractures,2 were Smith fractures,1 was Barton fracture. After the reduction,lateral X-ray imaging was used to evaluate curative effect immediately.
Results: All the patients obtained excellent and good reduction in standard of fractures,only 1 case didn't. According to functonal assessment of Dienst,the results were excellent in 49 cases,good in 11,fair in 1,and poor in 1.
Conclusion: Self-made wristlet-eccentric traction belt as a manipulative reduction tool to treat distal radius fractures,can make fractures close to the anatomic reduction,and can significantly improve the manual reduction success rate. |
KEY WORDS Radius fractures Manipulation,orthopedic External fixators |
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引用本文,请按以下格式著录参考文献: |
中文格式: | 杨玉元,杨静,张宏刚,冯开义,刘辉,余谦.自制偏心牵引带在桡骨远端骨折中的临床应用[J].中国骨伤,2013,26(8):693~695 |
英文格式: | YANG Yu-yuan,YANG Jing,ZHANG Hong-gang,FENG Kai-yi,LIU Hui,YU Qian.Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(8):693~695 |
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