上肢牵引装置结合无痛整复治疗桡骨远端骨折的临床疗效观察  

The clinical efficacy of upper limb traction device combined with painless reduction on the treatment of distal radius fracture

作　　者：赵家邦[1] 黄万新[1] 许少刚[1] 刘照富 高继红[1] 贾丽莹[1] ZHAO Jiabang;HUANG Wanxin;XU Shaogang;LIU Zhaofu;GAO Jihong;JIA Liying(Department of Emergency,Zhengzhou Orthopedics Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院急诊科,450052

出　　处：《天津医药》2022年第1期104-107,共4页Tianjin Medical Journal

基　　金：郑州市2020年度科技惠民计划项目(2020KJHM0004);河南省中医药科学研究专项课题(2018ZY3010,2019ZY3007)。

摘　　要：目的探讨上肢牵引装置结合无痛整复治疗桡骨远端骨折的临床效果。方法回顾性分析我院接诊的43例桡骨远端骨折患者临床资料,应用上肢牵引装置结合无痛整复治疗。比较患者治疗前后Mayo腕关节评分,复位前、复位后即刻患者掌倾角、尺偏角变化和并发症发生情况。结果治疗后3个月,患者均达骨性愈合,腕关节功能恢复优20例(46.5%),良19例(44.2%),中4例(9.3%),总体优良率为90.70%。复位后即刻尺偏角与掌倾角均大于复位前(P<0.01);43例患者中出现张力性水泡2例(4.65%),未见腕管综合征、畸形愈合、骨筋膜室综合征等发生。结论上肢牵引装置结合无痛整复治疗桡骨远端骨折可以获得较好的尺偏角与掌倾角,腕关节功能恢复较好,临床效果满意。Objective To investigate the clinical effect of upper limb traction device combined with painless reduction in the treatment of distal radius fracture.Methods The clinical data of 43 patients with distal radius fracture received in our hospital were retrospectively analyzed.The Mayo wrist score of the patients before and after treatment,changes in palmaral inclination,ulnar deviation angle and complications of the patients before and immediately after reduction were compared.Results Three months after treatment,all patients achieved bone healing,with excellent wrist function recovery in 20 cases(46.5%),good wrist function recovery in 19 cases(44.2%) and moderate wrist function recovery in 4 cases(9.3%).The overall excellent and good rates were 90.70%.Immediately after reduction,both the ulnar angle and palm angle were greater than those before reduction(P<0.01).Tension blisters were found in 2(4.65%) of the 43 patients,and no carpal tunnel syndrome,malunion and compartment syndrome.Conclusion The upper limb traction device combined with painless prosthesis for the treatment of distal radius fracture can obtain better ulnar angle and palmaral angle,and better recovery of wrist joint function with satisfactory clinical effect.

关 键 词：桡骨骨折 上肢牵引装置 无痛整复 掌倾角 尺偏角 

分 类 号：R683.415[医药卫生—骨科学]