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中医手法复位治疗肱骨髁上骨折临床分析 被引量:11

Effect of manual reduction of TCM on supracondylar fracture of humerus
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摘要 目的:探讨中医手法复位治疗肱骨髁上骨折的临床疗效。方法:回顾性分析2006年1月~2010年1月我院收治的肱骨髁上骨折患者61例,观察组实施中医手法复位联合微创穿针夹板外固定治疗37例,对照组实施闭合复位微创穿针夹板外固定手术治疗24例。结果:参照肩关节Neer功能百分评分方法,两组在疼痛、主动活动能力及活动范围、稳定性及患者自我评价等五个项目上差异具有统计学意义(P<0.05)。观察组的治愈率以及好转率明显高于对照组,而其并发症发生率则明显低于对照组。结论:中医手法复位联合微创穿针夹板外固定治疗肱骨髁上骨折具有疗效满意、并发症少,安全可靠等优点,值得临床推广。 Objective: To integrative effect of manual reduction of TCM on supracondylar fracture of humerus.Methods: Clinical data of 61 patients with supracondylar fracture of humerus in our hospital admitted from Jan 2006 to Jan 2010 were retrospectively analyzed.A total of 37 patients in observation group received manual reduction of TCM combined internal fixation by minimally invasive implementation of pinning splints,while patients in control group received closed reduction and internal fixation by minimally invasive implementation of pinning splints.Results: According to Neer scale for shoulder function,there were significant differences in pain,ability and range of active movement,stability,self-evaluation between two groups(P〈0.05).The cure rate and improvement rate were significantly higher,and the incidence of complication was significantly lower in observation group.Conclusions: Combination treatment of external fixation by minimally invasive needle splints and manual reduction of traditional chinese medicine is effective on supracondylar fracture of humerus.It is of few complications,safe and reliable and worthy to be popularized.
作者 曾南柱
出处 《海南医学院学报》 CAS 2011年第7期960-962,共3页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020110244)~~
关键词 中医手法复位 肱骨髁上骨折 临床分析 Manual reduction of TCM; Supracondylar fracture of humerus; Clinical analysis;
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  • 1郭志民,翟文亮,林斌,丁真奇,练克俭,刘晖,郭林新,周亮.肘关节外固定架结合内固定治疗肱骨髁间骨折的生物力学评价[J].中国临床解剖学杂志,2005,23(4):427-430. 被引量:15
  • 2卢世壁.坎贝尔骨科手术学(第9版)[M].济南:山东科学技术出版社,2001,2.2266,2269.
  • 3王亦璁.骨与关节损伤(第3版)[M].北京:人民卫生出版社,2001.1139-1147.
  • 4Charles T,Mehlan DO,William M,et al.The effect of surgical timing on the perioperative complications of treatment of supracondylar humerus fractures in children.J Bone Joint Surg(Am) 2001;83:323.
  • 5Caol C,Hasler.Supracondylar fractures of the humerus in children.European Journal of Trauma 2001;27(1):1.
  • 6David L,Skaggs MD,Julia M,et al.Operative treatment of supracondylar fractures of the humerus in children.J Bone Joint Surg(Am) 2001;83:736.
  • 7Mulhall J,Abuzakuk T,Curtin W,et al.Displaced supracondylar fractures of the humerus in children.International orthopaedics 2000;24(4):0221.
  • 8Millis MB,Singer IJ,Hall JE,Supracondylar fractures of the humerus in children:further experience with a study in orthopaedic decision-making.Clin orthop 1984;(188):90.
  • 9Iyengar SR,Hoffinger SA,Townsend DR.Rarly versus delayed reduction and pinning of type Ⅲ displaced supracondyla fractures of the humerus in children:a comparative study.J Orthop Trauma 1999;13:51.
  • 10Neil E,Overnight delay in the reduction of supracondylar fractures of the humerus in children.J Bone Joint Surg(Am) 2001;83(3):321.

共引文献37

同被引文献64

  • 1王晓,张世清,张淞,张永乐.儿童肱骨髁上骨折不同治疗方法的肘关节功能评价[J].中国骨伤,2003,16(10):615-616. 被引量:14
  • 2谢秀霞,柴翠萍,林文霞.小儿肱骨髁上骨折骨牵引术中的舒适护理[J].中国基层医药,2006,13(3):521-522. 被引量:6
  • 3朱通伯,戴尅戎.骨科手术学[M]第2版.北京:人民卫生出版社,2003.523-531.
  • 4朱超,沈海琦,侯明夫,梁斌,唐金山,顾强荣.预防小儿肱骨髁上骨折后肘内翻的康复锻炼[J].中国矫形外科杂志,2007,15(14):1104-1106. 被引量:36
  • 5王亦璁.骨与关节损伤.第3版.北京:人民卫生出版社,2003:496-497.
  • 6王亦璁.骨与关节损伤[M].第3版,北京:人民卫生出版社,2003.192-199.
  • 7Gurkan V,Orhun H, Akca 0,et al. Treatment of pediatric displacedsupracondylar humerus fractures by fixation with two cross K-wiresfollowing reduction achieved after cutting the triceps muscle in areverse V~shape. Acta Orthop Traumatol Turc, 2008,42(3):154-160.
  • 8Flynn JC, Matthews JG, Benoyt RL. Blind pinnimg of displacedsupracondylar fractures of the humerus in children:sixteen years,experience with long term follow up. J Bont Joint Surg(Am), 1974(56):263-272.
  • 9朱通伯,戴可戎.骨科手术学.第2版.北京:人民卫生出版社,2003:280-213.
  • 10Shao Y C,Harwood P,Grotz M R,et al.Radial nerve palsy associated with fractures of the shaft of the humerus:a systematic review[J].J Bone Joint Surg(Br),2005,87(12):1647.

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