| 手法闭合复位纸夹板外固定治疗Monteggia骨折 |
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投稿时间：2020-05-30
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| 期刊信息：《中国骨伤》2021年，第34卷，第9期，第870-875页 |
| DOI：10.12200/j.issn.1003-0034.2021.09.016 |
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中文摘要:
目的：探讨手法闭合复位纸夹板外固定治疗Monteggia骨折的临床疗效。
方法：自2010年1月至2018年6月采用闭合手法复位、纸夹板外固定治疗58例儿童Monteggia骨折患者，其中男37例，女21例；年龄3.5~12（8.48±2.29）岁；病程0.5 h~9 d，平均（4.21±1.46） d。分别于治疗前，治疗后1、3、6个月采用Broberg和Morrey评分系统对患肢的临床疗效进行评价。
结果：所有患者获得随访，时间1~6（3.35±2.12）个月。治疗前，治疗后1，3，6个月Broberg和Morrey评分分别为7.24±2.81，32.06±8.33，73.18±5.56，95.87±6.75；治疗后各时间点与治疗前比较差异有统计学意义（P<0.05）；其中优37例，良19例，中1例。
结论：手法闭合复位纸夹板外固定治疗Monteggia骨折，实现动静结合治疗，可早期去外固定，短、中期疗效显著。 |
| 【关键词】Monteggia骨折 手法,骨科 骨折闭合复位 |
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| Closed manipulative reduction and external fixation with cardboard splint for the treatment of Monteggia fracture |
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ABSTRACT
Objective: To explore clinical efficicacy of closed manipulative reduction and external fixation with cardboard splint in treating Monteggia fracture.
Methods: Fifty-eight children with Monteggia fracture were underwent closed manipulative reduction and external fixation with cardboard splint from January 2010 to Junuary 2018. Among them,including 37 males and 21 females,aged from 3.5 to 12 years old with an average of(8.48±2.29) years old;the courses of disease ranged from 0.5 hours to 9 days with an average of (4.21±1.46) days. Broberg and Morrey scores before treatment,1,3 and 6 months after treatment were used to evaluate clinical effects.
Results: All children were followed up from 1 to 6 months with an average of (3.35±2.12) months. Broberg and Morrey score(7.24±2.81) before treatment,(32.06±8.33) at 1 month after treatment,(73.18±5.56) at 3 months after treatment and (95.87±6.75) at 6 months after treatment; there were statistical differences at each time points after treatment with before treatment(P<0.05);37 children got excellent results,19 good and 1 moderate.
Conclusion: Treatment of Monteggia fractures with closed manipulative reduction and external fixation with cardboard splint could reach integration of motion and quietness,also could remove external fixation at early stage,and get obvious short-term and medium-term therapeutic results. |
| KEY WORDS Monteggia fracture Manipulation,orthopedic Closed fracture reduction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 谢克波,郝博川.手法闭合复位纸夹板外固定治疗Monteggia骨折[J].中国骨伤,2021,34(9):870~875 |
| 英文格式: | XIE Ke-bo,HAO Bo-chuan.Closed manipulative reduction and external fixation with cardboard splint for the treatment of Monteggia fracture[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(9):870~875 |
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