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[1]袁榮霞,趙純,謝正虎,等.折頂手法復(fù)位夾板外固定與手法閉合復(fù)位克氏針聯(lián)合彈性髓內(nèi)釘內(nèi)固定治療兒童尺橈骨遠(yuǎn)端雙骨折的比較研究[J].中醫(yī)正骨,2022,34(02):36-39+43.
　YUAN Rongxia,ZHAO Chun,XIE Zhenghu,et al.[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(02):36-39+43.
點(diǎn)擊復(fù)制

折頂手法復(fù)位夾板外固定與手法閉合復(fù)位克氏針聯(lián)合彈性髓內(nèi)釘內(nèi)固定治療兒童尺橈骨遠(yuǎn)端雙骨折的比較研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年02期
頁(yè)碼:
36-39+43
欄目:
臨床研究
出版日期:
2022-02-20

文章信息/Info

Title:
作者:
袁榮霞; 趙純; 謝正虎; 江繼君
四川省骨科醫(yī)院,四川 成都 610041
Author(s):
YUAN Rongxia; ZHAO Chun; XIE Zhenghu; JIANG Jijun
Sichuan Province Orthopedic Hospital,Chengdu 610041,Sichuan,China
關(guān)鍵詞:
尺骨骨折;  橈骨骨折;  兒童;  正骨手法;  小夾板固定術(shù);  骨折固定術(shù); 內(nèi);  骨釘;  臨床試驗(yàn)
Keywords:
ulna fractures;  radius fractures;  child;  bone setting manipulation;  small splint fixation;  fracture fixation; internal;  bone nails;  clinical trial
摘要:
目的:比較折頂手法復(fù)位夾板外固定與手法閉合復(fù)位克氏針聯(lián)合彈性髓內(nèi)釘內(nèi)固定治療兒童尺橈骨遠(yuǎn)端雙骨折的臨床療效。方法:將192例尺橈骨遠(yuǎn)端雙骨折患兒隨機(jī)分為2組,每組96例,分別采用折頂手法復(fù)位夾板外固定(外固定組)與手法閉合復(fù)位克氏針聯(lián)合彈性髓內(nèi)釘內(nèi)固定(內(nèi)固定組)治療。記錄并比較2組患兒的骨折愈合時(shí)間,末次隨訪時(shí)采用Anderson前臂骨折療效評(píng)價(jià)標(biāo)準(zhǔn)評(píng)價(jià)臨床療效。結(jié)果:所有患兒均獲隨訪,隨訪時(shí)間3～4個(gè)月,中位數(shù)3.5個(gè)月。外固定組骨折愈合時(shí)間(30.40±2.10)d,內(nèi)固定組骨折愈合時(shí)間(31.92±2.25)d; 2組患兒骨折愈合時(shí)間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.824,P=0.172)。末次隨訪時(shí),外固定組臨床療效優(yōu)83例、良10例、可3例,內(nèi)固定組臨床療效優(yōu)90例、良5例、可1例,2組患兒臨床療效比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(Z=-1.698,P=0.089)。結(jié)論:折頂手法復(fù)位夾板外固定與手法閉合復(fù)位克氏針聯(lián)合彈性髓內(nèi)釘內(nèi)固定治療兒童尺橈骨遠(yuǎn)端雙骨折,均有助于骨折早期愈合,且兩者的臨床療效相當(dāng)。
Abstract:
Objective:To compare the clinical outcomes of angulation-opposition manipulative reduction and external fixation with splint versus closed manipulative reduction and internal fixation with Kirschner-wires(K-wires)and elastic intramedullary nail in treatment of double fractures of distal ulna and radius in children.Methods:One hundred and ninety-two children with double fractures of distal ulna and radius were enrolled in the study and were randomly divided into external fixation group and internal fixation group,96 cases in each group.The children in external fixation group were treated with angulation-opposition manipulative reduction and external fixation with splint,while the ones in internal fixation group with closed manipulative reduction and internal fixation with K-wires and elastic intramedullary nail.The fracture healing time was recorded and compared between the 2 groups,and the clinical outcomes were evaluated according to Anderson therapeutic effect evaluation standard of forearm fracture at the last follow-up.Results:All children in the 2 groups were followed up for 3-4 months with a median of 3.5 months.The fracture healing time was 30.40±2.10 days in external fixation group and 31.92±2.25 days in internal fixation group.There was no statistical difference in fracture healing time between the 2 groups(t=0.824,P=0.172).At the last follow-up,83 children obtained an excellent result,10 good and 3 fair in external fixation group; while 90 children obtained an excellent result,5 good and 1 fair in internal fixation group.There was no statistical differences in the clinical outcomes between the 2 groups(Z=-1.698,P=0.089).Conclusion:The angulation-opposition manipulative reduction and external fixation with splint is similar to closed manipulative reduction and internal fixation with K-wires and elastic intramedullary nail in the clinical outcomes in treatment of double fractures of distal ulna and radius in children,and the both are beneficial to early fracture healing.

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備注/Memo

備注/Memo:
基金項(xiàng)目:四川省醫(yī)學(xué)科研課題(S15069)
通訊作者:袁榮霞 E-mail:[email protected]
更新日期/Last Update: 2022-02-20