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[1]湯智,熊輝,姜升平,等.手法復(fù)位夾板外固定與切開復(fù)位內(nèi)固定治療三踝骨折的療效比較[J].中醫(yī)正骨,2018,30(03):27-30.
　TANG Zhi,XIONG Hui,JIANG Shengping,et al.A clinical comparison of manipulative reduction and splint external fixation versus open reduction and internal fixation for treatment of trimalleolar fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(03):27-30.
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手法復(fù)位夾板外固定與切開復(fù)位內(nèi)固定治療三踝骨折的療效比較()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年03期
頁碼:
27-30
欄目:
臨床研究
出版日期:
2018-03-20

文章信息/Info

Title:
A clinical comparison of manipulative reduction and splint external fixation versus open reduction and internal fixation for treatment of trimalleolar fractures
作者:
湯智1; 熊輝2; 姜升平1; 曹慎1; 蒲云青1; 張旭橋1; 周彪2
1.湖南省湘潭市中醫(yī)醫(yī)院,湖南 湘潭 411100; 2.湖南中醫(yī)藥大學(xué),湖南 長沙 410208
Author(s):
TANG Zhi1; XIONG Hui2; JIANG Shengping1; CAO Shen1; PU Yunqing1; ZHANG Xuqiao1; ZHOU Biao2
1.Xiangtan Hospital of Traditional Chinese Medicine,Xiangtan 411100,Hunan,China 2.Hunan Chinese Medical University,Changsha 410208,Hunan,China
關(guān)鍵詞:
骨折;  踝關(guān)節(jié);  正骨手法;  小夾板固定;  骨折固定術(shù); 內(nèi);  桃紅四物湯
Keywords:
Keywords fractures; bone;  ankle joint;  bone setting manipulation;  small splint fixation;  fracture fixation;  internal;  Taohong Siwu Tang
摘要:
目的:比較手法復(fù)位夾板外固定與切開復(fù)位內(nèi)固定治療三踝骨折的臨床療效。方法:2016年1—10月納入三踝骨折患者60例,隨機(jī)分為2組,每組30例。在口服桃紅四物湯的基礎(chǔ)上,分別采用手法復(fù)位夾板外固定和切開復(fù)位解剖鋼板加空心釘內(nèi)固定治療。記錄并比較2組患者的住院時(shí)間、下地時(shí)間、住院總費(fèi)用、骨折愈合時(shí)間及治療后1年的Baird-Jackson踝關(guān)節(jié)評分。結(jié)果:2組患者均順利完成治療。手法復(fù)位夾板外固定組較切開復(fù)位內(nèi)固定組住院時(shí)間短、下地時(shí)間早、住院總費(fèi)用少[(15.1±1.0)d,(21.3±1.4)d,t=-23.007,P=0.000;(28.2±1.6)d,(30.4±1.7)d,t=4.634,P=0.000;(5 183.4±551.9)元,(16 151.7±716.5)元,t=-65.631,P=0.000]。2組患者均獲隨訪,隨訪時(shí)間1年; 骨折均愈合,手法復(fù)位夾板外固定組骨折愈合時(shí)間較切開復(fù)位內(nèi)固定組短[(3.10±0.2)個(gè)月,(3.53±0.5)個(gè)月,t=-3.317,P=0.004]。治療后1年2組Baird-Jackson踝關(guān)節(jié)評分比較,組間差異無統(tǒng)計(jì)學(xué)意義[(92.2±1.8)分,(91.4±2.6)分,t=1.541,P=0.134]。結(jié)論:手法復(fù)位夾板外固定與切開復(fù)位內(nèi)固定治療三踝骨折,二者療效相當(dāng),但前者骨折愈合時(shí)間短、住院時(shí)間短、下地時(shí)間早、住院費(fèi)用低。
Abstract:
ABSTRACT Objective:To compare the clinical effects of manipulative reduction and splint external fixation versus open reduction and internal fixation in treatment of trimalleolar fractures.Methods:Sixty patients with trimalleolar fractures were included from January 2016 to October 2016 and were randomly divided into 2 groups,30 cases in each group.All of the patients were treated with oral application of Taohong Siwu Tang(桃紅四物湯,THSWT),moreover,the patients were treated with manipulative reduction and splint external fixation(group A)and open reduction and internal fixation(group B)respectively.Hospital stay,bed rest time,total cost of hospitalization,fracture healing time and posttreatment Baird-Jackson ankle scores were recorded and compared between the 2 groups.Results:The treatment were finished successfully in all patients.The hospital stay and the bed rest time were shorter and the total cost of hospitalization was less in group A compared to group B(15.1+/-1.0 vs 21.3+/-1.4 days,t=-23.007,P=0.000; 28.2+/-1.6 vs 30.4+/-1.7 days,t=4.634,P=0.000; 5 183.4+/-551.9 vs 16 151.7+/-716.5 RMB,t=-65.631,P=0.000).All patients in the 2 groups were followed up for 1 year and all fractures healed.The fracture healing time was shorter in group A compared to group B(3.10+/-0.2 vs 3.53+/-0.5 months,t=-3.317,P=0.004).There was no statistical difference in Baird-Jackson ankle scores between the 2 groups at one year after treatment(92.2+/-1.8 vs 91.4+/-2.6 points,t=1.541,P=0.134).Conclusion:Manipulative reduction and splint external fixation is similar to open reduction and internal fixation in the curative effects in treatment of trimalleolar fractures,while the former has the advantages of shorter fracture healing time,shorter hospital stay shorter bed rest timer and less total cost of hospitalization.

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備注/Memo

備注/Memo:
基金項(xiàng)目:湖南省自然科學(xué)基金項(xiàng)目(2017JJ2256) 通訊作者:熊輝 E-mail:[email protected]
更新日期/Last Update: 2018-08-02