山东中医杂志2024，Vol.43Issue(1)：47-52,6.DOI:10.16295/j.cnki.0257-358x.2024.01.010
平乐郭氏正骨手法配合钢针撬拨复位治疗Mason Ⅱ型桡骨头骨折临床观察
Clinical Observation of Pingle GUO's Bone Setting Manipulation Combined with Steel Needle Prying Reduction in Treatment of Mason Ⅱ Type Radial Head Fracture
摘要
Abstract
Objective:To explore the clinical efficacy of Pingle GUO's bone setting manipulation combined with steel needle prying reduction in the treatment of Mason Ⅱ type radial head fracture.Methods:A total of 68 patients with Mason Ⅱ type radial head fracture were randomly divided into the observation group(37 cases)and the control group(31 cases).On the basis of conventional preoperative and postoperative treatment,the control group was treated with open reduction micro-T-shaped titanium plate internal fixation,and the observation group was treated with Pingle GUO's bone setting manipulation combined with steel needle prying reduction and fixation.The operative time,intraoperative blood loss,length of hospital stay,pain score and Broberg-Morrey score of elbow joint function were counted,and safety evaluation was carried out.All patients were followed up for 1 year.Results:After treatment,the pain scores of both groups were lower than those before treatment,and the Broberg-Morrey scores were increased(P＜0.05).Compared with the control group,the operation time and hospital stay in the observation group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,the pain scores at all time points after the operation were lower than those in the control group,and the Broberg-Morrey scores were higher than those in the control group(all P＜0.05).In terms of safety,no serious complications such as postoperative infection and nerve injury occurred in the two groups.There were 2 cases of postoperative Kirschner needle failure in the observation group,1 case of delayed healing and 1 case of ossification myositis in the control group,and there was no statistically significant significance between the two groups(P＞0.05).Conclusion:Pingle GUO's bone setting manipulation combined with steel needle prying reduction and fixation can achieve good functional reduction,achieve clinical healing of fracture,reduce surgical trauma and restore elbow joint function as soon as possible in the treatment of Mason Ⅱ type radial head fracture.关键词
桡骨头骨折/平乐郭氏正骨/钢针撬拨/微创治疗/Broberg-Morrey评分/微T形钛板Key words
radial head fracture/Pingle GUO's bone setting manipulation/steel needle prying/minimally inva-sive treatment/Broberg-Morrey score/micro T-shaped titanium plate分类
医药卫生引用本文复制引用
霍青云,赵玉玲,陈志新,张杰,于翱瑞,覃国忠,羊政忠,李伟..平乐郭氏正骨手法配合钢针撬拨复位治疗Mason Ⅱ型桡骨头骨折临床观察[J].山东中医杂志,2024,43(1):47-52,6.基金项目
广东省中医药局科研项目(编号:20212206) （编号:20212206）
