改良折顶手法复位、塑形纸夹板固定治疗尺桡骨远端双骨折的效果  

Effect of modified folding top reduction and plastic paper splint fixation in the treatment of double fractures of distal radius and ulna

作　　者：曾昭峰[1] 赵家邦[1] 张伟涛[1] ZENG Zhaofeng;ZHAO Jiabang;ZHANG Weitao(Department of Emergency,Zhengzhou Orthopedic Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市骨科医院急诊科,河南郑州450000

出　　处：《华夏医学》2021年第2期48-51,共4页Acta Medicinae Sinica

摘　　要：目的:探讨改良折顶手法复位、塑形纸夹板固定治疗尺桡骨远端双骨折患儿的效果。方法:95例尺桡骨远端双骨折患儿随机分为两组。对照组47例,采用常规切开复位克氏针内固定术治疗;观察组48例,采用改良折顶手法复位、塑形纸夹板固定术治疗。治疗后随访3~6个月,分析两组患儿的临床疗效、腕关节功能。结果:观察组的治疗总有效率95.8%,高于对照组68.1%,差异有统计学意义(P<0.05);治疗后,观察组腕关节功能改善优于对照组(P<0.05)。结论:改良折顶手法复位、塑形纸夹板固定能更好地促进患儿腕关节功能恢复。Objective:To discuss the effect of improved folding reduction and plastic paper splint fixation on children with double fractures of distal radius and ulna.Methods:95 child patients with double fractures of distal radius and ulna were randomized into two groups.47 child patients in the control group were treated with conventional open reduction and internal fixation with Kirschner wire,while another 48 child patients in the observation group adopted the treatment of improvement folding reduction and plastic paper splint fixation.All patients had been followed up for 3 to 6 months after operation.Then,the clinical curative effects and the recovery of wrist joint functions of patients were compared between both groups.Results:The total effective rate of observation group was 95.8%,which was higher than 68.1%of control group,and the difference was statistically significant(P<0.05);After treatment,the improvement of wrist function in the observation group was better than that in the control group(P<0.05).Conclusion:The improved folding reduction plastic paper splint fixation can better promote the recovery of wrist function in children.

关 键 词：改良折顶手法复位 塑形纸夹板固定 尺桡骨远端双骨折 腕关节功能 

分 类 号：R683.41[医药卫生—骨科学]