摘要
目的:比较纱条辅助复位法治疗指(趾)骨骨折相比传统复位手法治疗的效果。方法:选取2022-2024年间共计140例指(趾)骨骨折患者,随机分组后分别采用纱条辅助复位法和传统整复手法两种复位方式进行治疗,根据复位效果及拆除夹板后进行的3次关节功能评价,经统计学分析得出结论。结果:纱条辅助复位法复位效果优良率为94.4%,明显优于传统整复手法。功能方面,纱条辅助复位法拆除夹板后即刻优良率为68.0%,1个月后优良率为88.9%,均优于传统整复手法治疗组,差异有统计学意义(P<0.05)。2个月后纱条辅助复位法优良率为93.4%,与传统整复手法组差异无统计学意义(P>0.05)。结论:采用纱条辅助复位法对指(趾)骨骨折进行复位,复位效果明显优于传统整复手法,短期疗效存在明显差异,长期疗效无明显差异。
Objective:This study aim to compare the therapeutic efficacy of the medical gauze strip-assisted reduction method with that of the traditional fracture reduction technique in the treatment of phalangeal fractures.Methods:140 cases diagnosed with phalangeal fractures were enrolled in this study between 2022 and 2024.Participants were randomly allocated into two groups,each receiving one of the two reduction methods(medical gauze strip-assisted reduction method and traditional fracture reduction technique).Statistical analysis was conducted based on the fracture reduction outcomes and the joint function assessments performed at three time points following splint removal,with conclusions subsequently drawn.Results:The excellent-to-good rate of reduction efficacy for the medical gauze strip-assisted reduction method was 94.4%,which was significantly superior to that of the traditional fracture reduction technique.Regarding functional performance,the excellent-to-good rate was 68.0%immediately after splint removal and 88.9%at 1 month post-removal,both of which were significantly higher than those in the traditional fracture reduction technique group.At 2 months post-treatment,the excellent-to-good rate for the medical gauze strip-assisted reduction method was 93.4%,showing no significant difference compared to the traditional fracture reduction technique group.Conclusion:The medical gauze strip-assisted reduction method demonstrated significantly superior efficacy in the reduction of phalangeal fractures compared to the traditional fracture reduction technique.Significant differences were observed between both treatment methods in terms of short-term efficacy,whereas no significant differences were noted in long-term outcomes.
作者
韩旭
佟云
廖颖翀
李兆合
王晨曦
张海群
张伟
HAN Xu;TONG Yun;LIAO Yingchong;LI Zhaohe;WANG Chenxi;ZHANG Haiqun;ZHANG Wei(Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics,Beijing 100033,China)
出处
《中国中医骨伤科杂志》
2025年第5期77-79,84,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
2023年北京市西城区优秀人才培养资助项目-骨干个人(2023-XCRC-区委卫生健康工委202307)。
关键词
指骨骨折
趾骨骨折
短管状骨
纱条辅助复位
finger phalangeal fracture
toe phalanx fracture
short tubular bone
medical gauze strip-assisted reduction method
