折顶回旋治疗儿童挠尺骨远段陈旧性背移骨折

Treating radial and ulna bone distant of children by revolving and pressing the bones

目的:对儿童挠尺骨远段陈旧性背移骨折,有选择性地采用手法折骨复位治疗30例。方法:在臂丛神经阻滞麻醉下,采用上下提按,左右摇摆,加大成角,折断骨折断端骨痂及松解软组织粘连,施以折顶回旋,子骨寻母骨端提夹挤手法整复骨折。结果:参照骨折疗效标准草案,优11例,良9例,尚可4例。对位欠佳切开复位6例。优良率66%,折骨复位成功率80%。结论:本法具有安全简便、痛苦少、不增加损伤、费用低廉,且能收到良好的复位要求,减少诸多并发症的发生,是手术切开复位内固定治疗前,首选的一种治疗方法。

Objective： Treating 30 cases of radial and ulna bone distant of children with manual reduction method- Methods： Under brachial plexus blocking anesthesia, the osteotylus and callus on the ends of the fractures were broken again by force and then the broken bones were replaced to their original place by revolving and pressing the bones carefully- Results： According to the draft standard of fracture treatment assessment, 11 cases were excellent, 9 cases sounded good and 4 cases were adequate- 6 patients with poor recovery received surgeries to replace the broken bones- The good rate was 66% and the successful rate was 80%- Conclusion： The manual reduction method was safe, less painful, less harmful, more cheaper- It could better restore the bones with less complication- So this method is the first choice before the surgery was performed for the treatment of bone fractures-