自制偏心牵引带在桡骨远端骨折中的临床应用
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作者Author单位AddressE-Mail
杨玉元 YANG Yu-yuan 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China 601026769@qq.com 
杨静 YANG Jing 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China  
张宏刚 ZHANG Hong-gang 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China  
冯开义 FENG Kai-yi 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China  
刘辉 LIU Hui 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China  
余谦 YU Qian 玉门市第一人民医院骨科, 甘肃 玉门 735200 Department of Orthopaedics, the 1st People's Hospital of Yumen, Yumen 735200, Gangsu, China  
期刊信息:《中国骨伤》2013年,第26卷,第8期,第693-695页
DOI:10.3969/j.issn.1003-0034.2013.08.018
基金项目:
中文摘要:

目的: 探讨自制手法复位工具应用于桡骨远端骨折的临床疗效。

方法: 自2011年2月至2012年6月,62例闭合性桡骨远端骨折,男26例,女36例;年龄6~83岁,平均48.5岁。其中Colles骨折59例,Smith骨折2例,Barton骨折1例。应用自制腕带-偏心牵引带手法复位后,结合小夹板及石膏外固定治疗。治疗后立即行X线检查评估疗效。

结果: 61例达到优良骨折复位标准,仅1例没有达到标准。62例患者获得随访,随访时间2~6个月,平均3.6个月,依据Dienst功能评估标准评价,优49例,良11例,可1例,差1例。

结论: 应用自制腕带-偏心牵引带为辅助工具手法复位桡骨远端骨折,骨折接近解剖对位,能显着提高手法复位成功率。
【关键词】桡骨骨折  手法,骨科  外固定器
 
Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures
ABSTRACT  

Objective: To observe the curative effect of self-made eccentric traction belt as a manipulative reduction tool in the treatment of the distal radial fracture.

Methods: From February 2011 to June 2012,62 patients with distal radial closed fractures were treated by manipulative reduction with self-made wristlet-eccentric traction belt and combined with the small splint and plaster external fixation. Among them,59 cases were Colles fractures,2 were Smith fractures,1 was Barton fracture. After the reduction,lateral X-ray imaging was used to evaluate curative effect immediately.

Results: All the patients obtained excellent and good reduction in standard of fractures,only 1 case didn't. According to functonal assessment of Dienst,the results were excellent in 49 cases,good in 11,fair in 1,and poor in 1.

Conclusion: Self-made wristlet-eccentric traction belt as a manipulative reduction tool to treat distal radius fractures,can make fractures close to the anatomic reduction,and can significantly improve the manual reduction success rate.
KEY WORDS  Radius fractures  Manipulation,orthopedic  External fixators
 
引用本文,请按以下格式著录参考文献:
中文格式:杨玉元,杨静,张宏刚,冯开义,刘辉,余谦.自制偏心牵引带在桡骨远端骨折中的临床应用[J].中国骨伤,2013,26(8):693~695
英文格式:YANG Yu-yuan,YANG Jing,ZHANG Hong-gang,FENG Kai-yi,LIU Hui,YU Qian.Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(8):693~695
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