“漂浮法”闭合复位治疗儿童尺桡骨双骨折的临床研究  

Clinical Study of Closed Reduction under the Guidance of“Floating Method”in Treating both Ulna and Radius Fractures in Children

作　　者：向刚刚 曹鹏 吴若冰 吴瑞瑞 袁春 王淑天 高启龙 陈建琨[1] 谢忠文[1] 曹博 付义[1] XIANG Ganggang;CAO Peng;WU Ruobing;WU Ruirui;YUAN Chun;WANG Shutian;GAO Qilong;CHEN Jiankun;XIE Zhongwen;CAO Bo;FU Yi(Department of Orthopedics and Traumatology,Kunming Hospital of Traditional Chinese Medicine,Kunming 650011,China;Department of Traditional Chinese Medicine,Panlong District People's Hospital,Kunming 650011,China;Shenyang Medical College,Shenyang 110141,China.)

机构地区：[1]昆明市中医医院骨伤科,昆明650011 [2]昆明市盘龙区人民医院中医科 [3]沈阳医学院

出　　处：《中国中医骨伤科杂志》2023年第4期51-55,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：云南省中医(骨伤)临床医学中心建设项目。

摘　　要：目的:探讨“漂浮法”指导下闭合复位治疗儿童尺桡骨双骨折的临床疗效。方法:选取2019年3月至2022年3月收治的尺桡骨双骨折患者143例,按照治疗方法分为手法组(69例)和手术组(74例),手法组均基于“漂浮法”进行手法复位,手术组均进行内固定治疗,两组患者治疗后均指导功能康复锻炼。比较两组治疗后的前臂功能,治疗后第2,4,6,10周桡骨联合评分系统(RUSS)评分及两组并发症。结果:两组患者治疗后前臂功能的优良率差异无统计学意义(P>0.05);手法组在治疗后第2,4,6周时RUSS评分均高于手术组,差异有统计学意义(P<0.05);两组治疗后10周内并发症差异无统计学意义(P>0.05)。结论:基于“漂浮法”闭合复位和手术内固定治疗儿童尺桡骨双骨折均能取得良好的治疗效果,手法复位具有操作简单、骨痂生长快、避免手术疤痕及术口感染等优势,适合在基层医院推广应用。Objective:To explore the clinical efficacy of closed reduction under the guidance of“floating method”in treating both ulna and radius fractures in children.Methods:143 patients with double fractures of radius and ulna were selected from March 2019 to March 2022.They were divided into 69 cases of manipulation group and 74 cases of operation group according to the treatment method.The manipulation group was treated with“floating method”for manual reduction,the operation group was treated with internal fixation,and the patients in both groups were guided with functional rehabilitation exercise after treatment.The forearm function,radius union scoring system(RUSS)score and complications of the two groups at the 2nd,4th,6th and 10th week after treatment were compared.Results:There was no significant difference in the excellent and good rate of forearm function between the two groups after treatment(P>0.05).The RUSS scores of the manipulation group were significantly higher than those of the surgery group at 2,4,and 6 weeks after treatment(P<0.05).There was no significant difference in complications between the two groups within 10 weeks after treatment(P>0.05).Conclusion:Both closed reduction and surgical internal fixation based on the“floating method”can achieve good therapeutic efficacy in treating both ulna and radius fractures in children.Manual reduction has the advantages of simple operation,rapid callus growth,and avoiding problems such as surgical scars and surgical mouth infection,which is suitable for promotion in primary hospitals.

关 键 词：漂浮法 手法复位 尺桡骨双骨折 儿童骨折 

分 类 号：R683.41[医药卫生—骨科学]