回旋手法在小儿股骨骨折中的应用  

Application of convolute manipulation for the treatment of femoral fractures in children

作　　者：许建国 许鑫 喻俊辉 缪苏叶 缪苏健 吴静 XU Jian-guo XU Xin YU Jun-hui MIAO Su-ye MIAO Su-jian WU Jing.(Xinzhou Orthopedics Hospital, Wuhan 430400 ,Hubei , Chin)

机构地区：[1]武汉市新洲区骨伤专科医院,湖北武汉430400

出　　处：《中国骨伤》2017年第7期669-671,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :探讨回旋手法在小儿股骨骨折中的应用。方法 :2015年3月至2016年10月收治12例股骨骨折患儿,男8例,女4例;年龄1~12岁,平均6岁;均为闭合性骨折。致伤原因:摔伤10例,交通事故2例,其中橫行骨折1例,斜行骨折4例,螺旋形骨折4例,粉碎性骨折2例,青枝骨折1例。所有患者在伤后1~2 d行手法复位加杉树皮小夹板固定,并行下肢皮肤牵引术。结果:12例患儿获得随访,时间1~3个月,平均2个月。12例患者均达到骨折临床愈合,愈合时间平均6周,并无明显短缩、旋转成角畸形。末次随访时Schatzker-Lambert股骨远端骨折疗效评价结果:优11例,良1例。结论:中医正骨手法中回旋手法对儿童股骨骨折整复尤为关键,配合杉树皮小夹板固定,能达到满意的治疗效果。Objective：To discuss the application of convoluted manipulation in pediatric femoral fractures. Methods：From March 2015 to October 2016,12 children with femoral fractures were treated by Chinese traditional manipulation including 8 males and 4 females with an average age of 6 years old ranging from 1 to 12 years old. The causes of injury were falls in10 cases and traffic accidents in 2 cases. Of which 1 case was transverse fractures,4 cases were oblique fractures and 4 cases were spiral fractures,2 cases were comminuted fracture,1 case was greenstick fracture. All patients underwent manual reduction within 1 to 2 days,plus small splint with cedar bark,and parallel lower limb traction. Results：All the 12 patients were followed up for 1-3 months,with an average of 2 months. All the 12 patients achieved clinical union,and the average healing time was 6 weeks. There was no obvious shortening and rotational angulation. At the last follow up,Schatzker-Lambert distal femoral fracture evaluation results were excellent in 11 cases,good in 1 case. Conclusion：Convoluted manipulation is very important for reduction of femoral fractures in children,with the splint of cedar bark,satisfactory therapeutic effect can be achieved.

关 键 词：股骨骨折 正骨手法 小夹板固定 

分 类 号：R473.72[医药卫生—护理学]