摘要
目的:观察牵拉按压分骨正骨手法结合弹性髓内钉治疗不稳定性儿童尺桡骨中段骨折的临床疗效。方法:选择2019年2月至2021年2月住院治疗的42例不稳定性尺桡骨中段骨折的患儿,均在全麻下行牵拉按压分骨正骨手法结合弹性髓内钉手术治疗,术后即进行功能康复锻炼。对治疗后的效果、并发症、出血量及手术时间进行记录及分析。结果:42例患儿治疗后采用Anderson功能评定标准,优34例,良8例,优良率为100%。有2例因钉尾留置过长产生激惹反应,拔出弹性钉后痊愈。1例置钉时不慎损伤拇长伸肌腱,取钉时进行手术修复,后期恢复良好,未出现前臂畸形愈合和不愈合、血管神经等损伤。结论:不稳定性儿童尺桡骨中段骨折采用牵拉按压分骨正骨手法结合弹性髓内钉手术治疗,疗效优良,值得临床推广应用。
Objective:To observe the clinical efficacy of traction and compression bone splitting bone setting manipulation combined with elastic intramedullary nail on the treatment of unstable middle ulnar and radial fractures in children.Methods:42 children with unstable fractures of the middle segment of radius and ulna from February 2019 to February 2021 were treated by traction and compression bone splitting manipulation under general anesthesia combined with elastic intramedullary nail surgery.After fracture healing,the elastic nail was taken out for functional rehabilitation exercise.The efficacy,complications,bleeding volume and operation time after treatment were recorded and analyzed.Results:After treatment,42 children were evaluated by Anderson function evaluation standard,34 cases were excellent and 8 cases were good,and the excellent and good rate was 100%.2 cases had irritation reaction due to long retention of nail tail,and recovered after pulling out elastic nail.1 case accidentally injured extensor pollicis longus tendon during nail placement and underwent surgical repair during nail removal.It recovered well in the later stage,and there were no abnormal healing and nonunion of forearm,vascular and nerve injuries.Conclusion:Unstable middle ulnar and radial fractures in children are treated by traction and compression bone splitting manipulation combined with elastic intramedullary nail,which has excellent curative efficacy is worthy of popularization.
作者
张伦广
郑志刚
潘三元
刘小钰
ZHANG Lunguan;ZHENG Zhigang;PAN Sanyuan;LIU Xiaoyu(Shenzhen Luohu District Traditional Chinese Medicine Hospital,Shenzhen 518001,Guangdong China)
出处
《中国中医骨伤科杂志》
CAS
2022年第2期57-60,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
深圳市罗湖区软科学研究计划项目(LX20200814)
深圳市罗湖区中医院“杏林苗圃”临床研究培育专项项目(2020A14)。
关键词
牵拉按压分骨
尺桡骨中段骨折
弹性髓内钉
儿童
traction and compression bone splitting
fracture of the middle part of ulna and radius
elastic intramedullary nail
children
