棒顶复位法治疗桡骨远端骨折32例  

32 Cases Clinical Report about Rod Top Reduction Method in Treating Fracture of the Distal Radius

作　　者：史俊德 江永革 江涛 江林 SHI Junde;JINAG Yongge;JIANG Tao;JIANG Lin(Liuyang Orthopedic Hospital,Liuyang 410327,Hunan China)

机构地区：[1]浏阳市骨伤科医院,湖南浏阳410327

出　　处：《中国中医骨伤科杂志》2024年第3期70-72,78,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察棒顶复位法治疗桡骨远端C1.3型骨折的临床疗效。方法:32例C1.3型伸直型桡骨远端骨折患者就诊后行旋前棒顶复位法整复,超腕掌屈位杉树皮夹板外固定术治疗。结果:32例患者均一次复位成功,整复后X线检查均示骨折复位良好,定期拍摄X线片复查示骨折对位对线维持良好。随访时间为2~4个月,中位数为2.5个月,骨折均愈合。依据Gartland Werley腕关节功能评分标准:优21例,良11例。结论:棒顶复位法治疗桡骨远端C1.3型骨折,复位满意,操作简便,固定可靠,疗效满意。Objective:To observe the clinical application and efficacy of rod top reduction method in the treatment of type C1.3 distal radius fractures.Methods:32 cases of C1.3 extended distal radius fractures were treated with pronation rod top reduction and external fixation with fir bark splint in the super wrist and palm flexion position after seeking medical attention.Results:In 32 cases,all were successfully repositioned once.After the reduction,X-ray examination showed good fracture reduction.Regular X-ray examination showed that the alignment and alignment of the fractures were well maintained.Follow up for 2-4 months,with a median of 2.5 months,showed that all fractures healed.According to the Gartland Werley wrist joint function scoring standard,there were 21 excellent and 11 good cases.Conclusion:The rod top reduction method for the treatment of distal radius C1.3 fracture is satisfactory in reduction,simple in operation,reliable in fixation,and satisfactory in efficacy.

关 键 词：桡骨远端骨折 棒顶复位法 手法整复 杉树皮夹板 

分 类 号：R683.41[医药卫生—骨科学]