手法复位结合外固定支架治疗胫骨远端骨骺骨折疗效观察  

Curative effect observation of manipulative reduction combined with external fixation in treatment for distal tibial epiphysis fracture

作　　者：阮峻[1] 

机构地区：[1]佛山市中医院骨伤科,广东佛山528000

出　　处：《青岛医药卫生》2016年第2期130-131,共2页Qingdao Medical Journal

摘　　要：目的探讨手法复位结合外固定支架治疗胫骨远端骨骺骨折的疗效。方法选取我院2011年5月至2015年5月收治住院的胫骨远端骨骺骨折患者72例,随机分为研究组37例和对照组35例。两组患者均先行闭合手法复位,研究组于手法复位后行外固定支架治疗,对照组于手法复位后行小夹板外固定治疗。两组患者术后早期均进行关节屈伸活动及小腿肌肉功能训练。术后随访,统计分析两组患者的治疗优良率。结果术后随访6~30个月,研究组治疗优良率（91.9%）高于对照组（74.3%）,差异有统计学意义（χ2=4.014,P〈0.05）。结论闭合手法复位结合外固定支架治疗青少年胫骨远端骨骺骨折疗效较好,值得临床推广应用。Objective To investigate the curative effect of manipulative reduction combined with external fixation in treatment for distal tibial epiphysis fracture. Methods A total of 72 cases patients with distal tibial epiphysis fracture in our hospital from May 2011 to May 2015 were selected, and divided randomly into the research group（37 cases） and the control group（35 cases）. The two groups were treated by closed manipulative reduction, the research group were given external fixation after manipulative reduc- tion, and the control group were treated with small splint external fixation after manipulative reduction. The excellent and good rate of treatment of the two groups were follow-up and compared. Results After operation, the patients were followed up for 6-30 months, the excellent and good rate in the reasearch group was 91.9%, which was higher than that of the control group （74. 3%）, and the difference be- tween the two groups had statistical significance（x2 =4.014,P〈0. 05）. Conclusion Manipulative re- duction combined with external fixation in treatment for distal tibial epiphysis fracture is good, and is worthy of clinical application.

关 键 词：胫骨远端 骨骺骨折 手法复位 外固定支架 疗效 

分 类 号：R683.42[医药卫生—骨科学]