手法复位夹板固定治疗尺桡骨中下段骨折  

Manipulative reduction and splint fixation for the treatment of middle and lower segment fracture of ulnar and radius

作　　者：王策 吴院学 段永辉 陈建军 

机构地区：[1]西安市灞桥区中医整骨医院,陕西西安710043

出　　处：《中国骨伤》2008年第11期858-859,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察手法复位夹板固定治疗尺桡骨中下段骨折的临床效果。方法:尺桡骨中下段骨折68例,男46例,女22例;年龄1～26岁;伤后至就诊时间10min～1周。右侧39例,左侧29例;尺桡骨下段骨折45例,尺桡骨中段骨折23例;均为闭合性骨折。根据骨折移位情况,采用相应手法复位、夹板或夹板加石膏托固定的方法。结果:68例患者随访0.5～1年,平均8个月,依据疗效评价标准,优57例,良11例。X线片示解剖复位38例,近解剖复位20例,功能复位10例。结论:手法复位夹板固定治疗尺桡骨中下段骨折具有方法简单、创伤小、疗效好、功能恢复快等优点。Objective： To investigate the outcome of manipulative reduction and splint fixation for treatment of middle and lower fractures of ulnar and radius. Methods： Sixty-eight patients with lower segment fractures of ulnar and radius included 46 male and 22 female ,aged from 1 to 26 years. The course was from 10 min to 1 week. There were 39 cases in right and 29 in left; 45 in inferior segment and 23 in middle segment. All cases were closed fractures. According to fracture displacement, different methods of manipulation and splint or plaster splint fixation were used to reduction and fixation. Results ： Sixty-eight patient were followed-up for 0.5 to 1 year （mean 8 months） ,the fractures were all healing. According to the effective evaluation criteria,the results were excellent in 57 cases,good in 11. X-ray film showed anatomic reduction in 38 cases,similar to anatomic reduction in 20, functional reduction in 10. Conclusions ：Manipulative reduction and splint fixation for the treatment of the ulnar and radial bone fractures is a method of simple, minimally invasive,effective and functional advantages of quick recovery.

关 键 词：尺骨骨折 桡骨骨折 正骨手法 外固定器 

分 类 号：R726.834.1[医药卫生—儿科] R683.41[医药卫生—临床医学]