手法整复夹板外固定治疗桡骨远端骨折疗效观察  

Clinical Observation on Manipulative Reduction and Splint External Fixation in the Treatment for Distal Radius Fracture

作　　者：邓强[1] 刘朝辉[1] 王亚伟[1] 张彦军[1] 姚树国[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2013年第5期89-90,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:对手法整复夹板外固定治疗桡骨远端骨折的疗效进行分析,并探讨其临床意义。方法:对310例桡骨远端骨折患者行手法整复夹板外固定,必要时结合外固定架固定。单纯夹板固定者4～6周拆除夹板,采用外固定架固定者如干骺端稳定,2～3周后拆除外固定架,改为夹板外固定,如干骺端不稳定,4周时拆除外固定架,改为夹板外固定;夹板固定不超腕关节,并行腕关节功能锻炼,同时通过X线片观察术后即时、3天、7天、14天时骨折复位丢失情况并及时调整治疗方案。3个月时从腕关节的疼痛和屈伸活动2方面评价疗效。结果:优259例,占83.55%;良40例,占12.90%;可6例,占1.94%;差5例,占1.61%。结论:治疗桡骨远端骨折首选手法整复夹板外固定治疗,少数无效病例再结合外固定架固定等有限手术方法。Objective： To explore clinical meaning of manipulative reduction and splint external fixation in the treatment for distal radius fracture through analyzing its effects. Method： All 310 patients were given with manipulative reduction and splint external fixation, if necessary, combined with external fixators. The patients with splint fixation were removed in four to six weeks. External fixators were removed and replaced with splint in two to three weeks if the metaphysic was stable, if not, the fixators could be removed and replaced in four weeks; splint fixation could not exceed wrist joints, the patients were performed with functional exercise, the conditions of reduction loss were observed after surgery, in three days, seven days and 14 days after surgery with X ray to readjust the therapy timely. Clinical effects were evaluated from the pain and extension of wrist joints in three months. Result： There were 259 patients with excellent effects, it reached 83.55%; 40 cases with better effects and accounted for 12.90%; six cases effective and 1.94%; five cases ineffective and 1.61%. Conclusion： Manipulative reduction and splint external fixation are the therapy of choice for distal radius facture; a few ineffective cases could be given with external fixator and others.

关 键 词：桡骨远端骨折 手法整复 夹板外固定 

分 类 号：R274[医药卫生—中医骨伤科学]