旋前位折顶手法整复夹板外固定治疗儿童尺桡骨下端骨折127例  

Treatment of 127 Cases of Distal Ulnar and Radial Fractures in Children by External Fixation with a Small Splint after Fold-Top Manipulation in the Rotated Anterior Position

作　　者：马莉 张金东 张家雯 户晓静 杜麦达 MA Li;ZHANG Jindong;ZHANG Jiawen;HU Xiaojing;DU Maida(Zhang's Orthopaedic Hospital of Ningxia,Yinchuan 750001,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)

机构地区：[1]宁夏张氏正骨医院,银川750001 [2]北京中医药大学第三附属医院

出　　处：《中国中医骨伤科杂志》2024年第2期72-75,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：银川市科技支撑项目(2023SF30);宁夏回族自治区级学术技术带头人项目(银人才发[2020]5号)。

摘　　要：目的:观察旋前位折顶手法整复联合小夹板外固定治疗儿童尺桡骨下端骨折的临床疗效。方法:127例新鲜、闭合性、无血管及神经损伤的尺桡骨下端骨折的患儿,均采用旋前位折顶手法整复联合小夹板外固定治疗。结果:127例患儿均获随访,随访时间为3~8个月,平均为6个月;骨折均在4~6周愈合,未发生血管神经损伤等并发症。依据Anderson前臂骨折疗效评价标准评价临床效果:优79例,良44例,可4例,优良率为96.9%。结论:旋前位折顶手法整复联合小夹板外固定治疗儿童尺桡骨下端骨折,提高了复位成功率及骨折端稳定性,安全性高,临床效果显著,无并发症等不良反应,值得临床推广应用。Objective:To investigate the clinical efficacy of using the combination of rotational anterior fold-top manipulation and small splint external fixation in the treatment of distal ulnar and radial fractures in children.Methods:127children with fresh,closed fractures of the distal ulnar and radial bones without vascular or nerve injury were treated with anterior rotational fracture topping combined with external fixation of small splints.Results:All 127children were followed up for 38months,with an average of 6months.The fractures healed in 46weeks without complications such as vascular or nerve injury.The clinical results were evaluated according to Anderson's criteria for evaluating the efficacy of forearm fractures.79cases were excellent,44cases were good,and 4cases were acceptable,with an excellent rate of 96.9%.Conclusion:The treatment of children's lower ulnar radius fracture by the combination of anterior rotation fracture top manipulation and small splint external fixation can improve the success rate of repositioning and the stability of the fracture end.This method has high safety,significant clinical effect and no complications and other adverse effects,which is worthy of clinical promotion.

关 键 词：尺桡骨双骨折 手法整复 小夹板 儿童 

分 类 号：R683.41[医药卫生—骨科学]