| 分次手法复位加自制小夹板外固定治疗胫骨干骨折 |
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投稿时间：2007-08-23
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| 作者 | Author | 单位 | Address | E-Mail |
| 李瑛 |
LI Ying |
湖北中医学院，湖北 武汉 430061 |
Hubei College of Traditional Chinese Medicine,Wuhan 430061,Hubei,China |
li-yingzhao@126.com |
| 邹季 |
ZOU Ji |
湖北中医学院，湖北 武汉 430061 |
Hubei College of Traditional Chinese Medicine,Wuhan 430061,Hubei,China |
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| 熊勇 |
XIONG Yong |
湖北中医学院，湖北 武汉 430061 |
Hubei College of Traditional Chinese Medicine,Wuhan 430061,Hubei,China |
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| 李勇光 |
LI Yong-guang |
湖北中医学院，湖北 武汉 430061 |
Hubei College of Traditional Chinese Medicine,Wuhan 430061,Hubei,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第5期，第360-361页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨分次手法复位加小夹板外固定治疗胫骨干骨折的方法及疗效。
方法：回顾分析收治的22例闭合性胫骨骨折患者，男14例，女6例；年龄6～54岁，平均33岁；单纯胫骨干骨折15例，胫腓骨双骨折7例；胫骨上段骨折3例，中段骨折4例，下段骨折15例。骨折类型：斜形8例，螺旋形5例，粉碎性4例，横形5例。全部采用分次手法复位小夹板外固定治疗。
结果：全部患者经3～15个月，平均6个月随访，骨折畸形愈合1例，骨延迟愈合1例，骨不连1例。依据王旭东疗效评定标准， 优18例，良3例，差1例。
结论：在传统手法复位小夹板外固定的基础上，给予分次手法矫正以稳定骨折端，防止骨折再移位是治疗闭合性胫骨骨折最可靠的方法之一，具有操作简单、固定可靠、对关节功能影响小、骨折愈合快、并发症发生率低的优点。 |
| 【关键词】胫骨骨折 正骨手法 小夹板固定 |
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| Therapeutic effects of multi-stage manipulative reduction and splint fixation in 22 patients with tibia shaft fracture |
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ABSTRACT
Objective: To study the method and effects of multi-stage manipulative reduction and homemade splint fixation in the treatment of tibia shaft fractures.
Methods: Twenty-two patients(16 male and 6 female) were involved the retrospective study. The average age was 33 years(from 6 to 54 years). Single tibia shaft fracture was in 15 cases and tibiofibular fracture in 7 cases. Fracture site:3 cases were in the upper part of the tibia,4 in the middle part and 15 in the lower part. Fracture pattern:oblique fracture was in 8 cases,spiral fracture in 5 cases,comminuted fracture in 4 cases and transverse fracture in 5 cases. All the patients were treated with multi-stage manipulative reduction and homemade splint fixation.
Results: All the patients were followed up from 3 to 15 months(mean 6 months). There were malunion of fracture in 1 case,delayed union in 1 case and nonunion in 1 case. The results were excellent in 18 cases,good in 3 cases and poor in 1 case according to WANG Xu-dong assessment criteria.
Conclusion: On the base of traditional manipulative reduction and splint fixation,multi-stage manual correction could stabilize the broken part and prevent displacement. It had the characteristics of easy operation,reliable fixation,rapid union of fracture,few complications and influences on joint function. Multi-stage manipulative reduction and homemade splint fixation is one of the most reliable methods for closed tibia fracture. |
| KEY WORDS Tibial fractures Bone setting manipulation Small splint fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李瑛,邹季,熊勇,李勇光.分次手法复位加自制小夹板外固定治疗胫骨干骨折[J].中国骨伤,2008,21(5):360~361 |
| 英文格式: | LI Ying,ZOU Ji,XIONG Yong,LI Yong-guang.Therapeutic effects of multi-stage manipulative reduction and splint fixation in 22 patients with tibia shaft fracture[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(5):360~361 |
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