回旋托入法治疗难复性肩关节前脱位的临床研究

目的:应用自行设计改良的回旋托入法治疗难复性肩关节前脱位。方法:选择我院1997～2010年间的肩关节难复性前脱位32例,应用回旋托入法复位,观察复位效果和分析复位原理。结果:32例均一次性复位成功,复位过程中未出现继发损伤。结论:本法与传统整复方法(Hippocrates法和Kocher法)相比,具有操作简便、掌握容易、无需麻醉、整复效果明显的优点,且对肩周组织刺激小,能有效地避免继发损伤;尤其适用于受肩周软组织影响或合并骨折的难复性脱位。

Objective：application to design improved swing up into therapy for refractory anterior dislocation of shoulder joint.Methods：in our hospital from 1997 to 2010 years of irreducible anterior shoulder dislocation with 32 cases,application of swing up into law reset,reset effect observation and analysis of reduction principle.Results：32 cases were one-time successful reset,reset process without secondary injury.Conclusion：this method with the traditional reconstruction method（Hippocrates method and Kocher method）,has the advantages of simple operation,easy to control,no need for anesthesia,the repairing effect is obvious,and the shoulder tissue stimulation is small,can effectively avoid the secondary injury;especially suitable for the shoulder soft tissue effects or fracture of irreducible dislocation.