手法整复治疗尺桡骨下段骨折背向移位的临床研究

Clinical research of manual reduction in the treatment of distal part of radius and ulnar fracture with radius back malposition

目的比较观察手法整复及髓内针内固定治疗尺桡骨下段骨折背向移位的疗效。方法随机分为实验组35例和对照组35例,实验组接受用拔伸牵引、旋转、分骨手法纠正侧方移位,然后行折顶手法纠正背侧移位,最后夹板外固定。对照组接受手术开放复位,髓内针内固定治疗。结果随访6个月,骨折解剖对位及近解剖对位情况,对照组优于实验组;骨折愈合及功能恢复情况,实验组均优于对照组。结论应用手法整复治疗尺桡骨下段背向移位骨折,有利于伤肢功能恢复并能减少骨折延迟愈合、不愈合的发生。

Objective： To compare the curative effect on distal part of radius and ulnar fracture with radius back malposition between manual reduction and intranledullary nail fixation.Methods：The cases were divided into 2 groups randomly, 35 cases of experimental group were treated with manual reduction and splint external fixation,35 cases of the control group were treated with open reduction and intramedullary nail fixation.Results：After 6 months follow-up,the fracture anatomical reduction of the control group were better than that of the experimental group, the functional rehabilitation of the experimental group were better than the comrol.Conclusion： The manipulation reduction is a favorable treatment of distal part of radius and ulnar fracture with radius back malposition, can promote the recovery of function, and effectively inhibit the occurrence of fracture delayed union or nonunion.