| 手法复位联合3D打印小夹板治疗肱骨干骨折临床疗效观察 |
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投稿时间：2023-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 王强 |
WANG Qiang |
浙江中医药大学附属金华中医院, 浙江 金华 321017 |
Jinhua Hospital of Traditional Chinese Medicine Af- filiated to Zhejiang Chinese Medical University, Jinhua 321017, Zhejiang, China |
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| 冷燕奎 |
LENG Yan-kui |
浙江中医药大学附属金华中医院, 浙江 金华 321017 |
Jinhua Hospital of Traditional Chinese Medicine Af- filiated to Zhejiang Chinese Medical University, Jinhua 321017, Zhejiang, China |
809405733@qq.com |
| 翟波 |
ZHAI Bo |
浙江中医药大学附属金华中医院, 浙江 金华 321017 |
Jinhua Hospital of Traditional Chinese Medicine Af- filiated to Zhejiang Chinese Medical University, Jinhua 321017, Zhejiang, China |
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| 徐佳毅 |
XU Jia-yi |
上海交通大学医学 3D 打印创新研究中心金华分中心, 浙江 金华 321017 |
Jinhua Branch of Shanghai Jiaotong Uni- versity Medical 3D Printing Innovation Research Center, Jinhua 321017, Zhejiang, China |
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| 姬更生 |
JI Geng-sheng |
诸暨詹氏中医骨伤医院, 浙江 诸暨 311800 |
Zhuji Zhanshi Traditional Chi- nese Hospital of Orthopaedics, Zhuji 311800, Zhejiang, China |
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| 期刊信息：《中国骨伤》2025年，第38卷，第4期，第364-370页 |
| DOI：10.12200/j.issn.1003-0034.20230484 |
| 基金项目:2021年度浙江省中医药科技计划科学研究基金项目(编号:2021ZB318) |
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中文摘要:
目的: 分析手法复位联合3D打印小夹板进行外固定与同期手法复位传统小夹板外固定治疗肱骨干骨折的临床疗效。
方法: 回顾性分析2021年1月至2022年12月采用3D打印小夹板与传统小夹板治疗肱骨干骨折患者40例,根据固定方式不同分为3D组与传统组。其中3D组,男15例,女5例,年龄20~52(36.3±15.6)岁;传统组,男17例,女3例,年龄16~51(32.9±17.2)岁。观察并比较两组并发症发生率、骨折愈合时间、骨折愈合率、第1周和第4周支具舒适度主观评价量表评分、第8周和16周Constant-Murley肩关节功能评分和Mayo肘关节功能评分。
结果: 所有患者获得随访时间16~20(18.1±1.3)周。3D组无并发症发生,传统组2例发生并发症,差异无统计学意义(χ2=2.105,P=0.146)。骨折愈合时间,3D组(90.1±4.5) d,低于传统组(93.3±3.8) d,差异有统计学意义(P<0.05)。治疗后1、4周支具舒适度主观评价量表评分,3D组[(53.7±2.3)(62.8±1.1)分],均高于传统组[(45.6±2.4)(52.3±1.4)分],差异有统计学意义(P<0.05)。治疗后8周,3D组Constant-Murley肩关节功能评分(68.1±5.3)分,优于传统组(54.3±4.9)分,差异有统计学意义(P<0.05);治疗后16周,两组差异无统计学意义(P>0.05)。复位后8周,3D组Mayo肘关节功能评分(84.1±7.5)分,优于传统组(79.5±6.8)分,差异有统计学意义(P<0.05);治疗后第16周,两组差异无统计学意义(P>0.05)。
结论: 对具有保守治疗指征的肱骨干骨折,采用手法复位联合3D打印小夹板治疗是一种良好选择,患者舒适度更高,不仅可以减少并发症发生,一定程度上提高骨折愈合率及关节功能,改善患者生活质量。 |
| 【关键词】手法,正骨 3D打印 夹板 肱骨骨折 临床疗效 |
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| Manual reduction combined with 3D printed small splint in treating humeral shaft fractures |
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ABSTRACT
Objective To analyze the clinical efficacy of manual reduction combined with 3D printing small splint external fixation and synchronous manual reduction combined with traditional small splint external fixation in the treatment of humeral shaft.
Methods Between January 2021 and December 2022,40 patients with humeral shaft fractures were treated with 3D printing small splints and traditional small splints. They were divided into 3D group and traditional group according to different fixation methods. Among them,there were 15 males and 5 females in the 3D group,aged from 20 to 52 years old with an average of (36.3±15.6) years old. In the traditional group there were 17 males and 3 females,aged from16 to 51 years old with an average of (32.9±17.2) years old. The occurrence of complications,duration of fracture healing,rate of fracture healing,subjective evaluation scores for brace comfort at 1 week and 4 weeks,as well as the Constant-Murley shoulder function score and Mayo elbow function score at 8 weeks and 16 weeks were compared between the two groups.
Results All patients were followed up for 16 weeks. The 3D group did not experience any complications,while there were two cases of complications in the traditional group. However,this difference was not found to be statistically significant (χ2=2.105,P=0.146). The fracture healing time of the 3D group (90.1±4.5) days was significantly shorter compared to that of the traditional group (93.3±3.8) days (P< 0.05). The subjective evaluation scores for brace comfort in the 3D group (53.7±2.3) points and (62.8±1.1) points were significantly higher than those in the traditional group (45.6±2.4) points and (52.3±1.4) points at 1 and 4 weeks after reduction (P<0.05). After 8 weeks of reduction,the Constant-Murley shoulder function score in the 3D group was (68.1±5.3) points, which demonstrated a statistically significant improvement compared to the traditional group (54.3±4.9) points (P<0.05). However,at 16 weeks post reduction,there were no significant differences observed between the two groups (P>0.05). The Mayo elbow function score of the 3D group (84.1±7.5) points was significantly superior to that of the traditional group (79.5±6.8) points at 8 weeks post reduction (P<0.05). However,there was no statistically significant difference between the two groups at 16 weeks post reduction (P>0.05).
Conclusion For humeral shaft fractures with conservative treatment indications, manual reduction combined with 3D printed small splints is a good choice for treatment. The patient's comfort level is higher, which can not only reduce the occurrence of complications,but also improve the fracture healing rate and joint function to a certain extent,and improve the patient's quality of life. |
| KEY WORDS Manipulation,bonesetting 3D printing Splint Fracture of humerus Clinical efficacy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王强,冷燕奎,翟波,徐佳毅,姬更生.手法复位联合3D打印小夹板治疗肱骨干骨折临床疗效观察[J].中国骨伤,2025,38(4):364~370 |
| 英文格式: | WANG Qiang,LENG Yan-kui,ZHAI Bo,XU Jia-yi,JI Geng-sheng.Manual reduction combined with 3D printed small splint in treating humeral shaft fractures[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(4):364~370 |
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