中国骨伤2017，Vol.30Issue(7)：664-668,5.DOI:10.3969/j.issn.1003-0034.2017.07.017
正骨手法复位治疗儿童尺桡骨下段背向移位骨折
Bone setting manipulative reduction for the treatment of children's distal radioulnar fracture and dorsal dislocation
赵俊峰 1张天健 1高泉阳 1赵朝锋 1韩卢丽 1陈刚1
作者信息
- 1. 河南省洛阳正骨医院,河南 洛阳 471002
- 折叠
摘要
Abstract
Objective:To observe the effect of different manipulative reduction for children's distal radioulnar fracture and dorsal dislocation. Methods:From June 2013 to June 2014,80 children with distal radioulnar fracture and dorsal dislocation were treated by bone setting manipulative reduction including 51 males and 29 females with an average age of 6.5 years old ranging from 3 to 14 years old. Time from injury to treatment was 1 h to 6 d,31 cases were on the right,49 cases were on the left. Among them,45 cases were typeⅠof overlapping displacement,35 cases were type Ⅱ. The displacement of the fracture was observed by clinical manifestations and X-ray examination. Under fluoroscopy,different techniques were used for reduction and fixation. After 3 weeks of over wrist fixation ,the splints were overturned and fixed again for 1 to 2 weeks ,then were re-moved. The wrist joint function was evaluated based on Dienst criteria. Results:Eighty cases of fracture were successfully op-erated one time,all reached anatomic reduction or near anatomic reduction. Eighty children were followed up for 3 months to 1 year. All the fractures healed,and the healing time was 4 to 5 weeks with an average of 4.6 weeks. All patients removed the splint 3 months later,the results were excellent in 72 cases,good in 7 cases and fair in 1 case,the excellent and good rate was 98.75%. Conclusion:Bone setting manipulation for children's distal radioulnar fracture and dorsal dislocation can get good re-duction. At 1 month after the removal of the splint ,wrist function and finger strength gradually recovered and returned to nor-mal after 3 months.关键词
儿童/尺骨骨折/桡骨骨折/正骨手法Key words
Child/Ulna fractures/Radius fractures/Bone setting manipulation引用本文复制引用
赵俊峰,张天健,高泉阳,赵朝锋,韩卢丽,陈刚..正骨手法复位治疗儿童尺桡骨下段背向移位骨折[J].中国骨伤,2017,30(7):664-668,5.
