目的探讨高频超声术中引导儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的应用价值。方法收集承德医学院附属医院2009年10月至2014年10月收治的60例儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的临床资料。实验组30例,术中应用高...目的探讨高频超声术中引导儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的应用价值。方法收集承德医学院附属医院2009年10月至2014年10月收治的60例儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的临床资料。实验组30例,术中应用高频超声引导骨折闭合复位弹性髓内钉内固定,C型臂最终透视确定。对照组30例,术中应用C型臂透视引导骨折闭合复位弹性髓内钉内固定术。手术均由同一组医生团队完成。对两组手术时间、出血量、射线暴露及初次闭合复位成功率进行比较分析。结果实验组全部实现闭合复位内固定,无血管及神经损伤,C型臂最终透视确定复位及内固定位置满意。实验组与对照组相比,手术时间短[(22.23±3.95)min vs.(29.03±5.42)min],出血量少[(18.30±4.48)m L vs.(29.40±7.17)m L],射线暴露次数少[(1.80±0.50)次vs.(6.10±1.60)次],初次闭合复位成功率高(83.3%vs.63.3%),差异均有显著性意义,P<0.05。结论高频超声可动态观察骨折形态及内固定通过骨折断端的位置,射线暴露次数少,术中初次复位成功率高,临床疗效满意,有很好的临床应用价值。展开更多
目的:观察中医接骨法治疗儿童前臂骨折的临床疗效。方法:将83例前臂骨折患儿按照随机双盲法分为研究组43例与对照组40例,研究组给予中医接骨法治疗,对照组给予传统钢板固定法接骨治疗,观察统计2组患儿临床治疗效果。结果:2组患儿临床总...目的:观察中医接骨法治疗儿童前臂骨折的临床疗效。方法:将83例前臂骨折患儿按照随机双盲法分为研究组43例与对照组40例,研究组给予中医接骨法治疗,对照组给予传统钢板固定法接骨治疗,观察统计2组患儿临床治疗效果。结果:2组患儿临床总有效率比较,研究组为97.67%,对照组为77.50%,2组比较,差异有统计学意义(P<0.05)。术后,研究组患儿住院时间、骨折愈合时间较对照组相比缩短,2组比较,差异有统计学意义(P<0.05)。经治疗3月后,对2组患儿进行前臂功能Broberg and Morrey评分,研究组优良率为95.35%,对照组优良率为75.00%,2组比较,差异有统计学意义(P<0.05)。结论:中医接骨法治疗儿童前臂骨折临床疗效显著,可促进骨折愈合及前臂功能恢复。展开更多
目的 :探讨Acumed前臂髓内钉治疗成人前臂双骨折的临床疗效。方法:2009年1月至2016年12月采用Acumed髓内钉治疗成人前臂双骨折患者86例,男54例(62.8%),女32例(37.2%),年龄18~72岁,平均36.8岁;右侧50例,左侧36例。记录病例手术时间、术...目的 :探讨Acumed前臂髓内钉治疗成人前臂双骨折的临床疗效。方法:2009年1月至2016年12月采用Acumed髓内钉治疗成人前臂双骨折患者86例,男54例(62.8%),女32例(37.2%),年龄18~72岁,平均36.8岁;右侧50例,左侧36例。记录病例手术时间、术中出血量、放射暴露时间、骨折愈合时间、并发症,DASH问卷调查(Disabilities of the Arm,Shoulder and Hand questionnaire)和Grace-Eversman疗效评级以评估髓内钉治疗前臂骨折的临床效果。结果:86例患者均获随访,随访时间48~144周,平均86.8周;术中出血量30~80 ml,平均52 ml;放射性暴露时间1~6 min,平均2.5 min;手术时间31~55 min,平均46 min。85例骨折顺利愈合,愈合时间10~16周,平均13.3周。3例患者出现并发症,其中1例肥大性骨不连,1例尺桡骨间骨桥形成,1例拇长伸肌腱损伤。DASH评分0~28分,平均15.6分;Grace-Eversman评价结果,优65例,良15例,可5例,差1例。结论:前臂髓内钉用于治疗成人前臂双骨折具有微创、手术时间短、并发症少等优点,临床效果满意。展开更多
Introduction: Forearm fractures involving both the radius and ulna, present distinctive challenges in orthopedic trauma management. This case report explores the complexities of a rare case of bilateral fractures, emp...Introduction: Forearm fractures involving both the radius and ulna, present distinctive challenges in orthopedic trauma management. This case report explores the complexities of a rare case of bilateral fractures, emphasizing the importance of a comprehensive approach for optimal outcomes. Case Presentation: This report presents the case of a 40-year-old motorcyclist who was involved in a road accident and arrived at the emergency department shortly after the incident. Clinical examination revealed closed fractures in both forearms with mild swelling and severe tenderness. Fortunately, no neurovascular issues or compartment syndrome were detected. The patient was administered intravenous fluids and effective pain relief. Forearm splints were applied and the arms were elevated using pillows. Radiographs showed fractures in the right distal radius and ulna, as well as the left mid-shaft radius and ulna. Under general anesthesia, open reduction and internal fixation were per-formed using plates and screws for all four fractures. Postoperatively, the patient’s arms were immobilized and elevated, with gradual recovery during follow-up appointments over six months, eventually achieving full function without complaints. Conclusion: This article highlights the possibility, although infrequent, of bilateral shaft fractures of the ulna and radius. With thorough clinical assessment and radiological investigation, such fractures can be well-defined. The required definitive treatment, which usually involves open reduction and internal fixation, can be performed.展开更多
文摘目的探讨高频超声术中引导儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的应用价值。方法收集承德医学院附属医院2009年10月至2014年10月收治的60例儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的临床资料。实验组30例,术中应用高频超声引导骨折闭合复位弹性髓内钉内固定,C型臂最终透视确定。对照组30例,术中应用C型臂透视引导骨折闭合复位弹性髓内钉内固定术。手术均由同一组医生团队完成。对两组手术时间、出血量、射线暴露及初次闭合复位成功率进行比较分析。结果实验组全部实现闭合复位内固定,无血管及神经损伤,C型臂最终透视确定复位及内固定位置满意。实验组与对照组相比,手术时间短[(22.23±3.95)min vs.(29.03±5.42)min],出血量少[(18.30±4.48)m L vs.(29.40±7.17)m L],射线暴露次数少[(1.80±0.50)次vs.(6.10±1.60)次],初次闭合复位成功率高(83.3%vs.63.3%),差异均有显著性意义,P<0.05。结论高频超声可动态观察骨折形态及内固定通过骨折断端的位置,射线暴露次数少,术中初次复位成功率高,临床疗效满意,有很好的临床应用价值。
文摘目的:观察中医接骨法治疗儿童前臂骨折的临床疗效。方法:将83例前臂骨折患儿按照随机双盲法分为研究组43例与对照组40例,研究组给予中医接骨法治疗,对照组给予传统钢板固定法接骨治疗,观察统计2组患儿临床治疗效果。结果:2组患儿临床总有效率比较,研究组为97.67%,对照组为77.50%,2组比较,差异有统计学意义(P<0.05)。术后,研究组患儿住院时间、骨折愈合时间较对照组相比缩短,2组比较,差异有统计学意义(P<0.05)。经治疗3月后,对2组患儿进行前臂功能Broberg and Morrey评分,研究组优良率为95.35%,对照组优良率为75.00%,2组比较,差异有统计学意义(P<0.05)。结论:中医接骨法治疗儿童前臂骨折临床疗效显著,可促进骨折愈合及前臂功能恢复。
文摘目的 :探讨Acumed前臂髓内钉治疗成人前臂双骨折的临床疗效。方法:2009年1月至2016年12月采用Acumed髓内钉治疗成人前臂双骨折患者86例,男54例(62.8%),女32例(37.2%),年龄18~72岁,平均36.8岁;右侧50例,左侧36例。记录病例手术时间、术中出血量、放射暴露时间、骨折愈合时间、并发症,DASH问卷调查(Disabilities of the Arm,Shoulder and Hand questionnaire)和Grace-Eversman疗效评级以评估髓内钉治疗前臂骨折的临床效果。结果:86例患者均获随访,随访时间48~144周,平均86.8周;术中出血量30~80 ml,平均52 ml;放射性暴露时间1~6 min,平均2.5 min;手术时间31~55 min,平均46 min。85例骨折顺利愈合,愈合时间10~16周,平均13.3周。3例患者出现并发症,其中1例肥大性骨不连,1例尺桡骨间骨桥形成,1例拇长伸肌腱损伤。DASH评分0~28分,平均15.6分;Grace-Eversman评价结果,优65例,良15例,可5例,差1例。结论:前臂髓内钉用于治疗成人前臂双骨折具有微创、手术时间短、并发症少等优点,临床效果满意。
文摘Introduction: Forearm fractures involving both the radius and ulna, present distinctive challenges in orthopedic trauma management. This case report explores the complexities of a rare case of bilateral fractures, emphasizing the importance of a comprehensive approach for optimal outcomes. Case Presentation: This report presents the case of a 40-year-old motorcyclist who was involved in a road accident and arrived at the emergency department shortly after the incident. Clinical examination revealed closed fractures in both forearms with mild swelling and severe tenderness. Fortunately, no neurovascular issues or compartment syndrome were detected. The patient was administered intravenous fluids and effective pain relief. Forearm splints were applied and the arms were elevated using pillows. Radiographs showed fractures in the right distal radius and ulna, as well as the left mid-shaft radius and ulna. Under general anesthesia, open reduction and internal fixation were per-formed using plates and screws for all four fractures. Postoperatively, the patient’s arms were immobilized and elevated, with gradual recovery during follow-up appointments over six months, eventually achieving full function without complaints. Conclusion: This article highlights the possibility, although infrequent, of bilateral shaft fractures of the ulna and radius. With thorough clinical assessment and radiological investigation, such fractures can be well-defined. The required definitive treatment, which usually involves open reduction and internal fixation, can be performed.
