纸质塑形支架夹板超关节固定治疗上肢关节周围骨折

Over Articular Fixation of Plastic Paper Splint for Fractures around Joints of Upper Limbs

目的观察纸质塑形支架夹板超关节固定治疗肩、肘、腕关节周围骨折的临床疗效。方法采用回顾性研究方法,对1976-2010年2 800例肩、肘、腕关节周围骨折患者,采用传统中医手法整复,纸质塑形支架夹板超关节固定,功能锻炼的方法治疗。采用国家中医药管理局制定的《中医病证诊断疗效标准》来评价疗效。结果肱骨外科颈骨折组、肱骨髁上骨折组、桡骨远端骨折组患者优良率分别为91.8%、92.3%、90.6%。结论纸质塑形支架夹板超关节固定肩、肘、腕关节周围骨折疗效确切、安全、方便、治疗费用低廉。

Objective To assess the clinical effects of fractures around the joints of shoulder,elbow,and wrist treated with over articular fixation of plastic paper splint.Methods From 1976 to 2010,a total of 2 800 patients in this retrospective study received bone setting manipulation,over articular fixation of plastic paper splint,and rehabilitation.The clinical results were evaluated according to The Standard of Diagnosis and Therapeutic Effects for Diseases and Syndromes in traditional Chinese medicine issued by State Administrative Bureau of Chinese Medicine.Results The total effective rate was 91.8%,92.3%,and 90.6% in fracture of surgical neck of humerus,humeral supracondylar fracture,and Barton fracture,respectively.Conclusion Over articular fixation of plastic paper splint is proved to be very effective,safe,convenient,and cheap in the treatment of fractures around the joints of upper limbs.