尺骨鹰嘴骨牵引配合正骨手法治疗小儿肱骨远端全骺分离临床观察  

Clinical Observation of Ulna Olecranon Bone Traction and Bone Setting Manipulation in Treating Pediatric Distal Humerus Full Epiphyseal Separation

作　　者：陈若晨[1] 陈怀斌 陈若雷 王翠萍[3] 

机构地区：[1]成都中医药大学,四川成都610075 [2]天全县中医医院,四川天全625500 [3]四川省骨科医院,四川成都610000

出　　处：《中医学报》2013年第12期1806-1807,共2页Acta Chinese Medicine

基　　金：四川省中医药管理局课题(编号:2010-60)

摘　　要：目的:观察尺骨鹰嘴骨牵引配合正骨手法治疗未能及时复位的小儿肱骨远端全骺分离的疗效。方法:尺骨鹰嘴骨牵引装置安置成功后,采用牵引较大质量牵引,牵引24 h待断端牵动后再采用正骨手法复位骨折,复位后采用小夹板钢托外固定、小牵引质量维持,牵引14 d后取下尺骨鹰嘴骨牵引。结果:骨折位置得到纠正,基本恢复到解剖对位,为骨折的修复提供良好的解剖位置。结论:对单靠手法难以复位的肱骨远端全骺分离,尺骨鹰嘴骨牵引后再行手法整复也是一种有效的治疗方法。Objective ： To explore the curative effect of ulna olecranon bone traction and bone setting manipulation on pediatric distal hu- merus full epiphyseal separation without timely reset. Methods：After the successful placement of ulna olecranon bone traction device, use larger weight traction, and traction for 24 hours when the broken end moving, reuse bone setting manipulation reduction fracture. Af- ter reduction,use by small splint steel bracket external fixation and small traction weight maintenance, and removing ulna olecranon bone traction device after two weeks of traction. Results：The fracture position was corrected, and returned to the anatomic alignment mainly,which provide good anatomical position for fracture repairing. Conclusion：Distal humerus full epiphyseal separation is hard reset only by manipulation, and manipulative reduction after ulna olecranon bone traction is also a kind of effective treatment method.

关 键 词：肱骨远端全骺分离 儿童骨折 尺骨鹰嘴骨牵引 正骨手法 

分 类 号：R259.818[医药卫生—中西医结合]