摘要
目的 介绍一种治疗儿童骨伤的新方法。方法 应用手指引导法治疗的儿童长骨骨折136例 ,其中肱骨颈骨折 12例 ,肱骨干骨折 8例 ,肱骨髁上骨折 6 5例 ,尺桡骨双骨折 2 6例 ,股骨干骨折2 2例 ,开放性桡骨远端骨折 2例 ,开放性胫骨骨折 1例。手指引导法 :对于闭合性骨折 ,行小切口切开复位 ,术者用食指指端进行探查以协助复位 ,对于开放性骨折 ,术者很容易用食指指端探到骨折端 ,以协助良好复位。全部随访至骨折愈合 (3个月至 1年 2个月 ,平均 5个月 )。结果 除 3例外 ,其余所有病例愈后功能和外观满意。结论 对有切开复位适应症的儿童长骨骨折 ,建议改为手指引导法治疗。该方法快速简单、损伤较小、安全实用。
Objective [HT5”SS]To introduce a new method for the treatment of long bone fractures of childeren.[HT5”H]Methods [HT5”SS]136 cases of long bone fractures were treated with finger-guided method.The fractures consisted of the fracture of the surgical neck of the humeri in 12 cases,humeral shaft 8 cases,supracondylar 65 cases,double fractures of the radius and ulna 26 cases,femural shaft 22 cases,open fracture of the distal end of the radius 2 cases and open fracture of the tibial shaft one case.The finger guided method was carried out as follows:1.For the closed fractures,open reduction was done with small incisions;the operator uses the index finger tip to explore and help the reduction with the insertion of the K-wire by his assistant.2.For the open fractures,the operator can have easy access to the fracture ends using the tip of the index finger to help perfect reduction.[HT5”H]Results [HT5”SS]All the patients were followed-up for 3 to 14 months,with an average of 5 months.Satisfactory function and outlook were seen in all patients except 3.[HT5”H]Conclusion [HT5”SS]Finger-guided method is advisable to be adopted for fractures of long bones in children,especially suitable for open reduction.This method is simple,time saving,less traumatic,safe and practicable. [WT5”HZ]
出处
《中国骨伤》
CAS
2000年第8期468-470,共3页
China Journal of Orthopaedics and Traumatology
关键词
长骨骨折
手法
骨折固定术
治疗
儿童
WT5”BZ]Fracture,long bone Manipulation,orthopedic Fracture fixation,internal
