| 回旋手法在小儿股骨骨折中的应用 |
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投稿时间：2017-02-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 许建国 |
XU Jian-guo |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
303964083@qq.com |
| 许鑫 |
XU Xin |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
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| 喻俊辉 |
YU Jun-hui |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
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| 缪苏叶 |
MIAO Su-ye |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
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| 缪苏健 |
MIAO Su-jian |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
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| 吴静 |
WU Jing |
武汉市新洲区骨伤专科医院, 湖北 武汉 430400 |
Xinzhou Orthopedics Hospital, Wuhan 430400, Hubei, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第7期，第669-671页 |
| DOI：10.3969/j.issn.1003-0034.2017.07.018 |
| 基金项目: |
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中文摘要:
目的：探讨回旋手法在小儿股骨骨折中的应用。
方法：2015年3月至2016年10月收治12例股骨骨折患儿，男8例，女4例；年龄1~12岁，平均6岁；均为闭合性骨折。致伤原因：摔伤10例，交通事故2例，其中橫行骨折1例，斜行骨折4例，螺旋形骨折4例，粉碎性骨折2例，青枝骨折1例。所有患者在伤后1~2 d行手法复位加杉树皮小夹板固定，并行下肢皮肤牵引术。
结果：12例患儿获得随访，时间1~3个月，平均2个月。12例患者均达到骨折临床愈合，愈合时间平均6周，并无明显短缩、旋转成角畸形。末次随访时Schatzker-Lambert股骨远端骨折疗效评价结果：优11例，良1例。
结论：中医正骨手法中回旋手法对儿童股骨骨折整复尤为关键，配合杉树皮小夹板固定，能达到满意的治疗效果。 |
| 【关键词】股骨骨折 正骨手法 小夹板固定 |
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| Application of convolute manipulation for the treatment of femoral fractures in children |
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ABSTRACT
Objective: To discuss the application of convoluted manipulation in pediatric femoral fractures.
Methods: From March 2015 to October 2016,12 children with femoral fractures were treated by Chinese traditional manipulation including 8 males and 4 females with an average age of 6 years old ranging from 1 to 12 years old. The causes of injury were falls in 10 cases and traffic accidents in 2 cases. Of which 1 case was transverse fractures,4 cases were oblique fractures and 4 cases were spiral fractures,2 cases were comminuted fracture,1 case was greenstick fracture. All patients underwent manual reduction within 1 to 2 days,plus small splint with cedar bark,and parallel lower limb traction.
Results: All the 12 patients were followed up for 1-3 months,with an average of 2 months. All the 12 patients achieved clinical union,and the average healing time was 6 weeks. There was no obvious shortening and rotational angulation. At the last follow-up,Schatzker-Lambert distal femoral fracture evaluation results were excellent in 11 cases,good in 1 case.
Conclusion: Convoluted manipulation is very important for reduction of femoral fractures in children,with the splint of cedar bark,satisfactory therapeutic effect can be achieved. |
| KEY WORDS Femoral fractures Bone setting manipulation Small splint fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 许建国,许鑫,喻俊辉,缪苏叶,缪苏健,吴静.回旋手法在小儿股骨骨折中的应用[J].中国骨伤,2017,30(7):669~671 |
| 英文格式: | XU Jian-guo,XU Xin,YU Jun-hui,MIAO Su-ye,MIAO Su-jian,WU Jing.Application of convolute manipulation for the treatment of femoral fractures in children[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(7):669~671 |
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