传统特色正骨疗法治疗桡骨远端骨折探析

Experience of Traditional Features of Bonesetting Therapy for the Treatment of Distal Radius Fractures

齐氏正骨法的"捏腕挤兑"手法通过牵引松解后施以外力沿前臂纵轴方向关节面对关节面的挤压,以及挤压力度的不均,达到嵌插稳定桡侧柱及中间柱的作用,通过"侧按归连"达到复位桡侧柱及尺侧柱的作用,这需要术者长期的经验积累以及手法力度的精巧控制。齐氏正骨法的独特之处是套路明确,部分手法要求特殊的手劲,在施行手法前详细阅片以了解骨折的发生机制,骨折类型的差异需要几个手法动作的叠加治疗,手法的轻重缓急是整复成功的关键,整复后的纸壳板夹缚固定,医师指导下患者的练功以及药物的内服外用等系统综合性治疗是骨折治愈的保障。

Qi＇s bonesetting ＂ pinch wrist run＂ after releasing the traction technique through the applied external force along the longitudinal axis of the articular surface of the forearm joint face extrusion,extrusion and efforts are to insert stable radial column and the middle column,through the ＂ side by Gui Lian＂ to reset the radialis and ulnar column the side effect of column,which requires long-term accumulation of experience about the operation and manipulation force sophisticated control. The unique feature of Qi＇s bone setting is clear routine,part of technique requires special strength of the hand,reading in detail before in the implementation of practices in order to understand the mechanism of fracture,difference fracture types requires superposition technique of several actions,the implement of technique is the key of reduction success,paperboard fixation with splint after reduction fixation,patients＇ practice under the guidance of doctors and the system of comprehensive treatment such as internal and external use of drugs are the guarantee of fracture healing.