| 自制夹板外固定治疗掌骨骨折的临床疗效观察 |
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投稿时间：2020-09-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘凯 |
LIU Kai |
广州市正骨医院, 广东 广州 510015 |
Guangzhou Orthopaedic Hospital, Guangzhou 510015, Guangdong, China |
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| 叶永亮 |
YE Yong-liang |
广州市正骨医院, 广东 广州 510015 |
Guangzhou Orthopaedic Hospital, Guangzhou 510015, Guangdong, China |
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| 王广伟 |
WANG Guang-wei |
广州市正骨医院, 广东 广州 510015 |
Guangzhou Orthopaedic Hospital, Guangzhou 510015, Guangdong, China |
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| 胡建炜 |
HU Jian-wei |
广州市正骨医院, 广东 广州 510015 |
Guangzhou Orthopaedic Hospital, Guangzhou 510015, Guangdong, China |
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| 霍力为 |
HUO Li-wei |
广州市正骨医院, 广东 广州 510015 |
Guangzhou Orthopaedic Hospital, Guangzhou 510015, Guangdong, China |
hlwzhg@163.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第6期，第568-572页 |
| DOI：10.12200/j.issn.1003-0034.2021.06.018 |
| 基金项目: |
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中文摘要:
目的： 探讨手法复位结合自制夹板外固定治疗掌骨骨折的临床效果。
方法： 回顾性分析急诊科自2018年1月至2018年12月采用手法复位自制夹板外固定治疗的掌骨骨折患者126例，其中男102例，女24例；年龄9~73（33.2±14.3）岁。治疗期间定期复查X线，根据X线情况选择继续或调整外固定，X线示骨痂生长，骨折端稳定后拆除外固定继续功能锻炼，采用TAM评分标准对手的功能进行评价，并对患者骨折愈合情况及并发症情况进行总结。
结果： 126例中6例在治疗过程中出现骨折再移位而选择手术治疗，其余120例经该方法治疗掌骨骨折均获得骨性愈合，骨折愈合时间（6.3±1.8）周。随访时间2~12（4.4±2.2）个月。随访结束时采用TAM评分标准对患者的手功能进行评价：优105例，良13例，可2例，差0例。7例骨折出现短缩畸形，3例出现成角畸形。
结论： 手法复位结合自制夹板外固定治疗掌骨骨折可以取得良好的临床效果，自制夹板取材方便且费用低廉，是值得临床推广的一种有效方法。 |
| 【关键词】板 外固定 掌骨骨折 治疗 |
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| Clinical observation of homemade splint external fixation in the treatment of metacarpal fractures |
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ABSTRACT
Objective: To explore the clinical effect of manual reduction combined with homemade splint external fixation in the treatment of metacarpal fractures.
Methods: A retrospective analysis was performed in 126 patients with metacarpal fracture treated by manual reduction and homemade splint external fixation in the emergency department of our hospital from January 2018 to December 2018,including 102 male,24 female,ranging in age from 9 to 73 year old,with an average of (33.2±14.3) years old. During the treatment,the X-ray was re-examined regularly,and the external fixation was continued or adjusted according to the X-ray situation. The X-ray showed callus growth. After the fracture was stable,the external fixation was removed to continue functional exercise. The TAM scoring standard was used to evaluate the hand function,and the fracture healing and complications were summarized.
Results: Of the 126 patients,6 patients were treated with operation because of fracture displacement during the treatment. The other 120 patients were treated with this method and all of them got bony healing. The healing time was(6.3±1.8) weeks. The follow-up time ranged from 2 to 12 months,with a mean of (4.4±2.2) months. At the latest follow-up,TAM score was used to evaluate the hand function:excellent in 105 cases,good in 13 cases,fair in 2 cases and poor in 0 case. Shortening deformity was found in 7 cases and angulation deformity in 3 cases.
Conclusion: Manual reduction combined with homemade splint external fixation in the treatment of metacarpal fractures can achieve good clinical results. Homemade splint is easy to obtain materials and low cost,and it is an effective method worthy of clinical promotion. |
| KEY WORDS Splint External fixation Metacarpal fracture Treatment |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘凯,叶永亮,王广伟,胡建炜,霍力为.自制夹板外固定治疗掌骨骨折的临床疗效观察[J].中国骨伤,2021,34(6):568~572 |
| 英文格式: | LIU Kai,YE Yong-liang,WANG Guang-wei,HU Jian-wei,HUO Li-wei.Clinical observation of homemade splint external fixation in the treatment of metacarpal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(6):568~572 |
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