手法整复结合小夹板及抱枕外固定治疗肱骨干骨折106例  

106 Cases of Clinical Study on Manual Rectification Combined with External Fixation Using Small Splint and Pillow on the Treatment of Patients with Humeral Stem Fractures

作　　者：马莉 张金东 张家雯 MA Li;ZHANG Jindong;ZHANG Jiawen(Zhang's Orthopaedic Hospital of Ningxia,Yinchuan 750001,China;Beijing University of Chinese Medicine,Beijing 100105,China)

机构地区：[1]宁夏张氏正骨医院,银川750001 [2]北京中医药大学

出　　处：《中国中医骨伤科杂志》2023年第1期61-65,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：宁夏回族自治区学术技术带头人才项目(银人才发[2020]5号);银川市科技惠民项目(2021-SF-021)。

摘　　要：目的:观察手法整复结合小夹板及抱枕外固定治疗肱骨干骨折的安全性及临床疗效。方法:选取106例新鲜闭合性、无血管和神经损伤的肱骨干中下段骨折的患者,均采用手法整复结合小夹板及抱枕外固定治疗。结果:106例患者均在8~12周为愈合;均获随访,随访时间为6~18个月,均未出现骨不连、压疮、血管和神经损伤及骨筋膜室综合征等并发症。参照Mayo和Constant-Murley功能评分表对肘关节和肩关节进行评价:末次随访时Constant-Murley肩关节功能评分为(89.3±4.6)分,优62例,良38例,可6例。Mayo肘关节功能评分为(93.6±3.2)分,优66例,良39例,可1例。疗效评定参考《中医病证诊断疗效标准》,中医疗效治愈率达96.2%。结论:手法整复结合小夹板及抱枕外固定可维持和提高骨折端的稳定性,安全性高,减少并发症,有利于骨折愈合及肩肘关节功能恢复,临床效果显著。Objective:To observe the safety and clinical efficacy of manual rectification combined with small splint and pillow external fixation on the treatment of fracture of humeral shaft.Methods:A total of 106 patients with fresh closed fractures of the middle and lower humeral shaft fracture without vascular or nerve injury were selected and treated with manual rectification combined with small splints and external fixation with pillows. Results:All 106 patients healed in 8 to 12 weeks;all patients were followed up for 6 to 18 months. There were no complications such as bone discontinuity, pressure sores, vascular and nerve injuries, or osteofascial compartment syndrome and so on. Elbow and shoulder joints were evaluated according to Mayo and Constant-Murley functional scales. At the last follow-up, the Constant-Murley shoulder function score was(89.3 ± 4.6), excellent in 62 cases, good in 38 cases and fair in 6 cases;the Mayo elbow function score(93.6 ± 3.2) was excellent in 66 cases, good in 39 cases and acceptable in 1 case.The curative effect was evaluated according to the Standard for Diagnosis and curative Effect of Diseases in Traditional Chinese Medicine, and the curative effect rate of traditional Chinese medicine was 96.2%.Conclusion:The combination of manual rectification and external fixation with a small splint and pillow can effectively maintain and improve the stability of the fracture end with high safety, reduce the occurrence of complications, and benefit to the fracture healing and the functional recovery of the shoulder and elbow joint, with significant clinical effects.

关 键 词：手法复位 小夹板 抱枕支具 肱骨干骨折 

分 类 号：R683.41[医药卫生—骨科学]