正骨手法结合小夹板固定术治疗肱骨中段骨折的临床研究

Clinical Research of Manipulation with Small Splint Fixation in Middle Humerus Fractures

目的:回顾性分析正骨十四法结合小夹板固定术治疗肱骨中段骨折的有效性和安全性。方法:回顾性选取2017年1月至2022年1月采用正骨十四法结合小夹板固定术治疗的61例肱骨中段骨折患者,根据AO分型为:A型37例,B型15例,C型9例。年龄为18~86岁,平均为(52.00±21.73)岁;男26例,女35例。结果:所有病例均获得6个月以上随访,疗效总优良率为57.38%,对位对线及邻近关节活动良好,其中肩关节加州大学洛杉矶分校(UCLA)评分为(29.50±3.87)分,肘关节Mayo评分为(83.44±7.72)分。结论:正骨十四法结合小夹板固定术治疗肱骨中段骨折效果肯定,具有无创、经济、无手术并发症、无须取内固定物等优点,适宜推广应用。

Objective:To retrospectively analyze the efficacy and safety of fourteen bone-setting manipulation method combined with small splint fixation on the treatment of middle humerus fractures in hospital.Methods:61 patients with mid-humeral fractures treated with fourteen bone-setting manipulation minor splint fixation in our hospital from January 2017 to January 2022 were retrospectively selected.They were divided into 37 cases of type A,15 cases of type B,and 9 cases of type C according to AO classification.The age ranged from 18 to 86 years old,with an average of(52.00±21.73)years old.26 cases were male and 35 cases were female.Results:All cases were followed up for more than 6 months.Clinical healing was obtained in all cases,with good alignment after treatment and good movement of adjacent joints,including University of California,Los Angeles(UCLA)score(29.50±3.87)for the shoulder joint and a Mayo score(83.44±7.72)for the elbow joint,the overall excellent rate was 57.38%.Conclusion:Fourteen bone-setting manipulation with splint fixation for middle humerus fracture is quite effective and has the advantages of non-invasive,economical,no surgical complications,no need to take internal fixation,etc.It has great Chinese medical characteristics and is suitable for vigorous promotion and application.