手法复位夹板外固定治疗儿童桡骨远端骨折临床观察

Investigation of Therapeutic Effect of Manipulative Reduction with External Fixation of Small Splint in Treating Children with Distal Radial Fractures

目的:研究"压、端、牵"手法的要领;旋后背伸位与旋前掌屈位固定疗效比较。方法:选择观察组48例、对照组46例,加以比较。结果:94例疗效均获优。结论:"压、端、牵"手法操作简便,损伤小,其要领是术者必须定位准,并与助手相互协调;旋后背伸位与旋前掌屈位固定最后疗效无明显差别,但前者较后者消肿时间短,背伸、旋后功能恢复快。

Objective：To study the main point of Manipulation of ＂Ya,Duan,Qian＂ ：to study the effect ot two methods of fixation（ supinated fixation and pronated one） Methods：Ninty -four children with distal radial fractures were divided into 2 groups （Group A： 48 children, treated by manipulative reduction with external fixation, supinated, Group B： 46children, treated by manipulative reduction with extemal fixation, pronated）, and the effect of two methods were studied. Result ：We found all cases gaind good effect. Conclusion：Manipulation of ＂Ya,Duan,Qian＂ is convenient to do and the injury it brought is little. The main po int of it is that the actor should do correctly and in a coherent collaboration with his assitants. There Was no significant differences between the two methods （ P 〈 0.05 ）, and the former can lead to a quicker recover in function and make the swelling evade more quickly.