| 手指引导法治疗儿童长骨骨折 |
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Received:January 16, 1998 Revised:July 16, 1998
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| 期刊信息：《中国骨伤》2000年13卷，第8期，第468-470页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:介绍一种治疗儿童骨伤的新方法。
方法:应用手指引导法治疗的儿童长骨骨折136例,其中肱骨颈骨折12例,肱骨干骨折8例,肱骨髁上骨折65例,尺桡骨双骨折26例,股骨干骨折22例,开放性桡骨远端骨折2例,开放性胫骨骨折1例。手指引导法:对于闭合性骨折,行小切口切开复位,术者用食指指端进行探查以协助复位,对于开放性骨折,术者很容易用食指指端探到骨折端,以协助良好复位。全部随访至骨折愈合(3个月至1年2个月,平均5个月).
结果:除3例外,其余所有病例愈后功能和外观满意。
结论:对有切开复位适应症的儿童长骨骨折,建议改为手指引导法治疗。该方法快速简单、损伤较小、安全实用。 |
| [关键词]:长骨骨折 手法 骨科 骨折固定术 内 |
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| Finger-guided method for the treatment of long-bone fractures of children |
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Abstract:
Objective:To introduce a new method for the treatment of long bone fractures of childeren.
Methods:136 cases of long bone fractures were treated with finger-guided method.The fractures consisted of the fracture of the surgical neck of the humeri in 12 cases,humeral shaft 8 cases,supracondylar 65 cases,double fractures of the radius and ulna 26 cases,femural shaft 22 cases,open fracture of the distal end of the radius 2 cases and open fracture of the tibial shaft one case.The finger guided method was carried out as follows:1.For the closed fractures,open reduction was done with small incisions;the operator uses the index finger tip to explore and help the reduction with the insertion of the K-wire by his assistant.2.For the open fractures,the operator can have easy access to the fracture ends using the tip of the index finger to help perfect reduction.
Results:All the patients were followed-up for 3 to 14 months,with an average of 5 months.Satisfactory function and outlook were seen in all patients except 3.
Conclusion:Finger-guided method is advisable to be adopted for fractures of long bones in children,especially suitable for open reduction.This method is simple,time saving,less traumatic,safe and practicable. |
| KEYWORDS:Fracture long bone Manipulation orthopedic Fracture fixation internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张伯锋,殷春霞,李杰,崔健.手指引导法治疗儿童长骨骨折[J].中国骨伤,2000,13(8):468~470 |
| 英文格式: | ZHANG Bo-feng,YIN Chun-xia,LI Jie.Finger-guided method for the treatment of long-bone fractures of children[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(8):468~470 |
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