小夹板改良外固定治疗小儿前臂双骨折的临床观察  

Clinical observation on the modified external fixation with splints for double fractures of forearm in children

作　　者：文朝[1] 潘会琴 梁兴森[2] 吴建斌[1] 方楚权 谢世隆 

机构地区：[1]深圳市龙岗区横岗人民医院骨科,广东深圳518115 [2]广东省第二人民医院

出　　处：《中国骨伤》2010年第8期624-625,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨保守治疗儿童创伤的优势,观察评价保守外固定治疗儿童前臂双骨折的临床疗效。方法:自2007年6月至2008年6月,手法整复、小夹板改良外固定治疗前臂双骨折52例,男33例,女19例;年龄4～15岁,平均8.6岁;病程1 h～7 d。所有患者均有明确的外伤史,治疗前拍摄X线片显示尺桡骨双骨折。结果:52例均获得随访,时间6～14个月,平均9.4个月。所有骨折均达骨性愈合,骨折临床愈合时间4～8周,平均6周。采用Berton评定标准对治疗效果进行评价,优37例,良15例。结论:严格按照适应证,使用小夹板改良外固定治疗儿童前臂双骨折,操作安全,创伤小,费用低,功能恢复好。Objective：To explore the advantages of conservative treatment for trauma of children,and evaluate effect of external fixation for the treatment of double fractures of forearm.Methods：From June 2007 to June 2008,52 patients with dou-ble fractures of forearm were treated with manipulative reduction and modified external fixation by splints.Among them,33 males and 19 females,the age was from 4 to 15 years with an average of 8.6 years.The course of disease was from 1 hour to 7 days.All patients had a definite history of trauma,and pre treatment X ray film showed double fracture of ulna and radius.Re-sults：All patients were followed up from 6 to 14 months with an average of 9.4 months.All fractures healed and the healing time was from 4 to 8 weeks with an average of 6 weeks.The clinical effect was evaluated according to Berton criteria,37 cases obtained excellent result,15 good.Conclusion：Strict choose indication of conservative treatment can obtain satisfied effect in treating double fractures of forearm in children.The method has advantages of safe operation,less injury,cheap expense,which can well obtain functional rehabilitation of patients.

关 键 词：小夹板固定 尺骨骨折 桡骨骨折 正骨手法 

分 类 号：R683.410.5[医药卫生—骨科学]