| 手法整复加外固定治疗孟氏骨折 |
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Received:December 24, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘仁寿 |
LIU Ren-shou |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 杨政焕 |
YANG Zheng-huan |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 薛朝晖 |
XUE Zhao-hui |
丹江口市汉江医院骨科 |
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| 吴志勇 |
WU Zhi-yong |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 龚太芳 |
GONG Tai-fang |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 卢云 |
LU Yun |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 王平年 |
WANG Ping-nian |
郧阳医学院附属太和医院骨科,湖北十堰442000 |
Department of Orthopaedics,the Affiliated Taihe Hospital of Yunyang Medical College,Shiyan 442000,Hubei,China |
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| 期刊信息：《中国骨伤》2005年18卷，第10期，第580-582页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:对孟氏骨折的复位方法、分骨垫的应用及外固定的改进作出分析评定。
方法:孟氏骨折87例,男71例,女16例。皆采用先整复尺骨骨折,再整复桡骨小头脱位,复位后加用特制的掌背侧双分骨垫,使其稳定不再移位,并对尺桡骨双骨折者,有防骨桥形成的作用。而外固定采用改良式防滑脱超关节夹板固定。复位后以高压氧治疗1～2个疗程(12～24d)。
结果:随访3～6个月,骨折愈合时间14～60d,平均30d,无桡骨小头再脱位,无尺桡骨间骨桥形成。根据武文臣疗效评价标准优29例,良43例,可13例,差2例。
结论:对孟氏骨折采取先整复尺骨骨折,再整复桡骨小头脱位,加用特制掌背侧双分骨垫,外以改良式防滑脱超关节夹板固定,是提高疗效的可靠方法。 |
| [关键词]:孟氏骨折 正骨手法 骨折固定术,外 高压氧 |
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| Treatment of Monteggia' fractures by manipulative reduction and external fixation |
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Abstract:
Objective: To evaluate the method of reposition,the application of bone-separating pad,and the improvement of external fixation for Monteggia fracture.
Methods:87 patients of Monteggia fracture(71 male,16 female)were treated in the procedure of ulna fracture reduced first,and then the capitulum of radius.After reduction,bone-separating pad was used on both metacarpal and dorsal sides of forearm to prevent displacement and avoid forming bone-bridage in the case with compound fracture of ulna and radius.The improved preventing sliding splint over bone joint was used as external fixation.After fixation,all the patients were treated by hyperbaric oxygen for two periods(12～24 d).
Results:The follow-up for 3 to 6 months showed that the mean time of fracture healing was 30 days(14 to 60),and no redislocation and forming of bone bridge were found.According to the standards of evaluation:excellent in 29 cases,good in 43,fair in 13 and poor in 2.The excellent and good rate was 82.7%.
Conclusion:For Monteggia fracture,the fracture of ulna were reduced at first and the capitulum of radius.Fixation with the metacarpal and dorsal side bone-separating pad and the improved preventing sliding splint over bone joint could enhance the curative effect. |
| KEYWORDS:Monteggia’ fractures Bone setting manipulation Fracture fixation,external Hyperbaric oxygenation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘仁寿,杨政焕,薛朝晖,吴志勇,龚太芳,卢云,王平年.手法整复加外固定治疗孟氏骨折[J].中国骨伤,2005,18(10):580~582 |
| 英文格式: | LIU Ren-shou,YANG Zheng-huan,XUE Zhao-hui,WU Zhi-yong,GONG Tai-fang,LU Yun,WANG Ping-nian.Treatment of Monteggia' fractures by manipulative reduction and external fixation[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(10):580~582 |
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