摘要
目的探討正骨治療伸直型橈骨遠端骨折的臨床療效。方法回顧性分析2015年1月~2017年12月鏡湖醫院中醫科閉合正骨復位、小夾板外固定治療的伸直型橈骨遠端骨折病例共37例。正骨後要求帶夾板進行早期腕關節功能鍛煉,並從尺偏角、掌傾角、腕關節Gartland-Werley功能評分觀測歸納分析。結果正骨後當天尺偏角、掌傾角分別是:22.39±3.06,12.35±1.97;6~8周尺偏角、掌傾角分別是22.63±1.66,12.46±1.46。測定值與正常均值比較差異無統計學意義(P>0.05)。術後6個月内Gartland-Werley腕關節功能評分優32例,良4例,可1例。結論正骨復位、小夾板外固定法應用於治療伸直型橈骨遠端骨折效果明顯,治療方法比較簡單,方便、快捷、價廉,適合門急診推廣。
Objective To investigate the clinical effect of bone-setting manipulation in the treatment of extended distal radius fracture.Methods From January 2015 to December 2017,37 cases of extended distal radius fracture treated by bone-setting manipulation and external fixation with small splints at TCM department of Kiang Wu hospital were analyzed retrospectively.Under the condition of splint fixation,early wrist functional exercises are required after bone-setting treatment.Ulnar deviation,palmar inclination and Gartland-Werley scores of wrist function are summarized and analyzed.Results The ulnar deviations and palmar inclinations were respectively 22.39±3.06 and 12.35±1.97.on the day after treatment;6-8 weeks later,the relative ulnar deviations and palmar inclinations were respectively 22.63±1.66.and 12.46±1.46.There was no significant difference between the measured values and the normal mean values(P>0.05).6 months after,the Gartland-Werley scores of wrist function showed that 32 cases were excellent,4 cases were good and 1 case was acceptable.Conclusion Bone-setting manipulation and external fixation with small splints are effective in the treatment of extended distal radius fractures,which is simple,convenient,fast and inexpensive,and suitable for outpatient and emergency application.
作者
蔡全輝
申堅
盧得健
CAI Quan Hui;SHEN Jian;LU De Jian(Department of Traditional Chinese Medicine,Kiang Wu Hospital,Macao,China)
出处
《镜湖医学》
2020年第1期59-60,66,共3页
MEDICAL JOURNAL OF KIANG WU
关键词
橈骨遠端骨折
正骨手法
夾板固定
Distal Radial Fracture
Bone-setting Manipulation
External Fixation with small splints