自制偏心牵引带在桡骨远端骨折中的临床应用  

Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures

作　　者：杨玉元 杨静[1] 张宏刚[1] 冯开义 刘辉 余谦 

机构地区：[1]玉门市第一人民医院骨科,甘肃玉门735200 [2]嘉峪关市第一人民医院

出　　处：《中国骨伤》2013年第8期693-695,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨自制手法复位工具应用于桡骨远端骨折的临床疗效。方法:自2011年2月至2012年6月,62例闭合性桡骨远端骨折,男26例,女36例;年龄6～83岁,平均48.5岁。其中Colles骨折59例,Smith骨折2例,Barton骨折1例。应用自制腕带-偏心牵引带手法复位后,结合小夹板及石膏外固定治疗。治疗后立即行X线检查评估疗效。结果:61例达到优良骨折复位标准,仅1例没有达到标准。62例患者获得随访,随访时间2～6个月,平均3.6个月,依据Dienst功能评估标准评价,优49例,良11例,可1例,差1例。结论:应用自制腕带-偏心牵引带为辅助工具手法复位桡骨远端骨折,骨折接近解剖对位,能显著提高手法复位成功率。Objective：To observe the curative effect of self made eccentric traction belt as a manipulative reduction tool in the treatment of the distal radial fracture. Methods：From February 2011 to June 2012,62 patients with distal radial closed fractures were treated by manipulative reduction with self made wristlet eccentric traction belt and combined with the small splint and plaster external fixation. Among them,59 cases were Colles fractures,2 were Smith fractures,1 was Barton fracture. After the reduction,lateral X ray imaging was used to evaluate curative effect immediately. Results：All the patients obtained excellent and good reduction in standard of fractures,only 1 case didn＇t. According to functonal assessment of Dienst,the re- sults were excellent in 49 cases,good in 11,fair in 1,and poor in 1. Conclusion： Self made wristlet eccentric traction belt as a manipulative reduction tool to treat distal radius fractures,can make fractures close to the anatomic reduction,and can signifi- cantly improve the manual reduction success rate.

关 键 词：桡骨骨折 手法 骨科 外固定器 

分 类 号：R683.41[医药卫生—骨科学]