手法复位结合掌骨宽夹板固定治疗第2~5掌骨骨折87例  

87 Cases of Manipulative Reduction Combined with Metacarpal Wide Splint Fixation to Treat 2nd to 5th Metacarpal Fractures

作　　者：郭永林 姜升平 刘浩 蒲云青 汤智 曹谦 罗纯清 贺璐 GUO Yonglin;JIANG Shengping;LIU Hao;PU Yunqing;TANG Zhi;CAO Qian;LUO Chunqing;HE Lu(Xiangtan Hospital of Traditional Chinese Medicine,Xiangtan 411100,Hunan China)

机构地区：[1]湖南湘潭市中医医院,湖南湘潭411100

出　　处：《中国中医骨伤科杂志》2022年第2期74-77,88,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：湘潭市首批名老中医药专家姜升平传承工作室建设项目(潭卫发[2019]23号);湘潭市首轮医卫名家培育工程项目(潭卫发[2020]1号)。

摘　　要：目的:探讨使用手法复位结合掌骨宽夹板固定治疗第2~5掌骨骨折的临床有效性及安全性。方法:选取87例第2~5掌骨骨折病例,其中男67例,女20例;年龄12~48岁,平均28.4岁。采用手法复位结合掌骨宽夹板固定的方法,观察掌骨骨折复位固定、骨折愈合、功能恢复及并发症发生等情况。结果:复位后平均随访3个月,除2例要求手术外,其余85例患者骨折平均4.3周均达到临床愈合标准,且功能恢复满意。结论:掌骨骨折早期应用手法复位结合掌骨宽夹板固定治疗,是一种简捷有效的方法。Objective:To investigate the clinical efficacy and safety of manual reduction combined with metacarpal wide splint fixation on the treatment of the 2 nd to 5 th metacarpal fractures.Methods:87 cases of the 2 nd to 5 th metacarpal fractures were selected including 67 males and 20 females.The age ranged from 12 to 48 years old with 28.4 years old on average.All patients were treated by manual reduction combined with metacarpal wide splint fixation.The reduction and fixation,fracture healing,functional recovery and complications of metacarpal fractures were observed.Results:The average follow-up after reduction was 3 months.Except for 2 cases requiring surgery,the fractures of the other 85 patients reached the clinical healing standard for an average of 4.3 weeks,and the functional recovery was satisfactory.Conclusion:Manual reduction combined with metacarpal wide splint fixation is a simple and effective method to treat metacarpal fracture with manual reduction and wide splint fixation in the early stage.

关 键 词：第2~5掌骨骨折 手法复位 掌骨宽夹板 固定 

分 类 号：R683.41[医药卫生—骨科学]