摘要
传统的手法整复尺桡骨双骨折均在牵引下完成分骨、推挤、折顶等动作,在牵引下复位常形成"软性"夹板,使术者不易准确触摸断端,持续的牵引力多与术者的施力不一致,会对抗抵消一部份复位力,对软组织损伤大;技术上及复位较难把握,常常矫正不完全,难以达到手法"所施得宜"及"尽其法"的目的。我院根据前臂双骨折的损伤机制和解剖特点及"原始创腔"原理,在不牵引状态下进行弹浮正骨、沉浮分骨等手法,创立"漂浮正骨法"复位手法整复前臂双骨,在牵引时机、推顶方向、分骨时机及要点等方面提出创新观点,并通过临床实践不断总结优化,形成系统理论,本文主要论述其复位原理及理论创新。
Double fracture of radius and ulna traditional manipulation were completed,bone,pushing folding roof movement in traction,the traction often form 'soft' splint,the patients are not easy to touch off the end,traction continued with patients' force is not consistent,can counteract part reset force,will have large damage to soft tissues. It is difficult to grasp on technology and reset,correction is often incomplete,and difficult to achieve 'the application of appropriate techniques' and'to the best of the method'. Our hospital according to the injury mechanism of double fracture of forearm and anatomical characteristics and 'the original wound cavity' principle,without traction bonesetting,ups and downs of elastic floating state of bone and other techniques,the creation of 'floating bonesetting' reduction manipulation forearm bone,put forward innovative ideas in traction opportunity,pushing machine and points of jacking direction,bone and so on,and through clinical practice constantly sum up the optimization,the formation of system theory,this paper mainly discusses the reduction principle and theoretical innovation.
出处
《四川中医》
2014年第1期63-65,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
原始创腔
前臂双骨折
漂浮正骨法
理论创新
Original wound cavity
Double fracture of forearm
Floating bonesetting
Theory innovation
