改良的Milch复位法治疗肩关节前脱位的临床疗效分析

Clinical effect analysis of modified Milch reduction method for anterior dislocation of shoulder joint

目的:比较改良的Milch复位法和牵引-对抗牵引复位法治疗肩关节前脱位的疗效。方法:选取50例肩关节前脱位患者,除4例肋骨骨折和2例85岁以上高龄患者采用改良的Milch复位法,其余44例患者随机分成观察组和对照组,每组22例,观察组采用改良的Milch复位法进行治疗,对照组采用牵引-对抗牵引复位法进行治疗。结果:观察组患者全部一次复位成功,对照组中有20例患者一次复位成功。两组患者肩关节恢复情况总分差异无统计学意义(P>0.05)。结论:改良Milch复位法手法复位成功率更高,患者痛苦小,操作简单,不需要臂丛麻醉,费用低,尤其对合并肋骨骨折、大结节骨折及高龄患者有更安全的治疗效果。

Objective：To compare the therapeutic effect of the modified Milch reduction method and the traction traction reduction method in the treatment of anterior dislocation of the shoulder.Methods：50 cases of patients with anterior dislocation of the shoulder, in addition to Milch reduction of 4 cases of rib fractures and 2 cases of elderly patients over 85 years old with the modified, the remaining 44 patients were randomly divided into two groups, respectively is the observation group and control group,22 cases in each group, Milch reduction by modified method of observation in the treatment. The control group used traction against traction method treatment.Results：The observation group was successfully reset, and 20 cases in the control group were successfully reset. There was no significant difference in the total score of shoulder joint between the two groups, which was not statistically significant （P〉0.05）.Conclusion：the modified Milch procedure manual reduction and higher success rate, less pain, simple operation, no need of brachial plexus anesthesia, low cost, especially with rib fracture, the fracture of the greater tuberosity and the elderly patients had a safe therapeutic effect.