| 折顶旋推手法治疗儿童尺桡骨远端背靠背骨折 |
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Received:November 20, 2014
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| 期刊信息：《中国骨伤》2015年28卷，第9期，第864-867页 |
| DOI：10.3969/j.issn.1003-0034.2015.09.018 |
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目的:探讨运用折顶旋推手法治疗儿童尺桡骨远端“背靠背”骨折的临床效果.
方法:自2012年1月至2014年2月采用折顶旋推手法复位加夹板固定治疗38例儿童尺桡骨远端“背靠背”骨折患者,男23例,女15例;年龄6~14岁,平均9.5岁;受伤时间45 min~3 d,平均1.3 d.均为单侧闭合性骨折,无神经损伤症状;腕关节正侧位片显示尺桡骨远端双骨折,且桡骨断端呈典型的“背靠背”移位.依据Dienst等Steward基础上结合Aro解剖评估标准评价复位质量,并采用Anderson功能评定标准评价疗效.
结果:38例患者均获得随访,时间3~13个月,平均6个月,所有患者未出现医源性神经损伤.首次复位成功30例,再次复位成功8例;解剖复位28例,近解剖复位7例,功能复位3例;次日复查有7例患儿手背及手指肿胀,均出现在多次复位的患者中.复位质量:优33例,良5例;按Anderson功能评定标准:优35例,良3例.骨折均愈合,并未出现腕部畸形.
结论:采用折顶旋推手法治疗儿童尺桡骨远端“背靠背”骨折复位成功率较高,功能恢复良好,操作过程简便. |
| [关键词]:正骨手法 儿童 尺骨骨折 桡骨骨折 |
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| Roof folding and rotary pushing for the treatment of back to back fractures of distal radius and ulna in children |
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Abstract:
Objective: To evaluate the technique and the clinical effect of folding roof and rotary pushing in treatment of children with distal radius and ulna fracture of “back to back”.
Methods: From January 2012 to February 2014, 38 children with distal radius and ulna fracture of “back to back” were treated by using the technique of folding roof and rotary pushing to reset and splint fixation including 23 males and 15 females with an average age of 9.5 years old ranging from 6 to 14 years old.Injury time was from 45 min to 3 days (averaged 1.3 days). All cases was unilateral closed fracture without symptoms of nerve injury occurred. The wrist joint anteroposterior and lateral radiographs showed double fracture of radius and ulna, and the broken end of radius was typical “back to back” displacement. The quality of reduction was assessed according to Dienst recommendation on the combination of Aro measurement, and the therapeutic effect was evaluated using standard of Anderson function.
Results: All patients were followed up from 3 to 13 months with an average of 6 months. There were no iatrogenic nerve injury. Thirty cases were treated successfully for the first time, 8 cases were again reset successfully; 28 cases were anatomical reduction, 7 cases were near anatomic reduction, 3 cases were functional reduction. At the second day 7 cases with hand and finger swelling appeared in multiple reset patients. Quality results of reduction were excellent in 33 cases, good in 5 cases. According to the standard of Anderson function evaluation, 35 cases were excellent, 3 cases were good. All fractures were healed with of deformity of wrist.
Conclusion: Using the technique of folding roof and rotary pushing in treatment of children with distal radius and ulna fracture of “back to back” is very successful, the patient's limb function recovered well, the whole operation process is simple. |
| KEYWORDS:Bone setting manipulation Child Ulna fractures Radius fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐平,董晓俊,鲁周同,王丛军,张汉庆,陈选宁,李东.折顶旋推手法治疗儿童尺桡骨远端背靠背骨折[J].中国骨伤,2015,28(9):864~867 |
| 英文格式: | XU Ping,DONG Xiao-jun,LU Zhou-tong,WANG Cong-jun,ZHANG Han-qing,CHEN Xuan-ning,LI Dong.Roof folding and rotary pushing for the treatment of back to back fractures of distal radius and ulna in children[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(9):864~867 |
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