手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折

发布时间：2018-01-01 19:14

本文关键词：手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折　出处：《中国骨伤》2016年01期 　论文类型：期刊论文

【摘要】：目的 :探讨正骨手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折的临床疗效。方法 :自2011年3月至2014年2月,采用手法复位小夹板外固定治疗肱骨干骨折患者64例,男28例,女36例;年龄22~67岁,平均38.1岁。按AO/OTA分型:A1型10例,A2型12例,A3型11例;B1型10例,B2型12例,B3型7例;C1型2例,C2型1例,C3型1例。整复后配合微动理念早期功能锻炼。患者均不合并其他部位骨折和血管神经损伤,均无严重内科疾病。随访观察患者骨折愈合及肩肘关节功能恢复情况,并评定疗效。结果:所有患者获随访,时间10~12个月,平均10.3个月。2例复位后3个月少量骨痂生长,改为手术治疗;2例复位后出现桡神经症状,改为手术治疗,其他患者骨性愈合时间8~12周,平均10.2周,骨折达到骨性愈合后,按照Constant-Murley肩关节功能评分评定疗效,平均(93.5±3.2)分,优29例,良29例,可6例,优良率90.3%;按照Mayo肘关节功能评分标准(MEPS),平均(93.7±4.2)分,优35例,良23例,可6例,优良率91.9%。结论 :正骨手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折,具有其相应的科学基础和实用价值,整复效果好,费用低廉,能够有效减少并发症,促进患者功能康复。
[Abstract]:Objective: to investigate the clinical effect of manual reduction and small splint external fixation combined with fretting exercise in the treatment of humeral shaft fracture. Methods: from March 2011 to February 2014. 64 cases of humeral shaft fracture were treated with manual reduction and splint external fixation, including 28 males and 36 females. The average age was 38.1 years old. According to AO/OTA classification, 12 cases of type A _ 2 and 12 cases of type A _ 2 were classified according to AO/OTA classification. There were 10 cases of type B1, 12 cases of type B _ 2 and 7 cases of type B _ 3. C1 type 2 cases with C2 type 1 case with C 3 type 1 case with fretting concept of early functional exercise. Patients do not complicated with other sites of fracture and vascular and nerve injury. All patients were followed up for 10 ~ 12 months. A small amount of callus growth occurred 3 months after reduction in an average of 10.3 months. Radial nerve symptoms appeared in 2 cases after reduction and were treated by operation. The time of bone healing in other patients was 8 ~ 12 weeks (mean 10.2 weeks). According to Constant-Murley shoulder function score, the average score was 93.5 卤3.2, excellent 29 cases, good 29 cases, fair 6 cases, excellent and good rate 90.3%. According to the Mayo score of elbow joint function, the average score was 93.7 卤4.2, excellent in 35 cases, good in 23 cases and fair in 6 cases. Conclusion: the treatment of humeral shaft fracture with manual reduction and small splint external fixation combined with micro-motion exercise has the corresponding scientific foundation and practical value, good effect and low cost. It can effectively reduce complications and promote the functional rehabilitation of patients.
【作者单位】：四川省骨科医院;
【分类号】：R687.3
【正文快照】： 肱骨干骨折是临床常见骨折之一,占全身骨折的1.31%[1],随着近年来交通事故的增多,常伴有高能量致伤。随着内固定技术的发展,目前手术治疗肱骨干骨折的适应证有逐渐扩大趋势[2]。2011年3月至2014年2月,采用正骨手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折,疗效满意,

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