摘要
本文通过340例肱骨上端、桡骨上下端、股骨下端和胫骨下端骨骺损伤的临床和 x 线分析,阐述了骨骺损伤发病、形态、诊断类型、治疗和预后等问题。探讨了骨骺损伤的发病规律,提出了骨骺损伤新的分类法。治疗上强调以不同年龄和部位的生长、再塑能力和损伤类型来具体分析。随访173例,中西医结合治疗的最终优良率为91.0%,远远超过切开复位的效果(61.1%)。生长障碍和畸形发生率低于文献报道。因此中西医结合手法复位、夹板固定适于不同年龄、部位和类型的多数青少年骨骺损伤。12.1%有临床意义的异常 x 线改变的病例中,复位不良和骨骺实质性损伤(类型)是生长障碍和畸形发生的主要原因。
340 cases of epiphyseal injury in proximal humerus,proximal and distal radial,distal fomur and distal tibia were reported.The incidence,morphology,diagnosis,classification,treatment and prognosis were analysed. One hundred and seventy-three cases were followed up for average period of 4.6 years.The authors recommended combined method of the traditionalc chinese and western medicine,because the treatment excellent rate was 91.0% and incidence of growth inhibition and deformity was lower(12.1%)
出处
《中国中医骨伤科杂志》
CAS
1990年第4期14-17,13,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
