闭合复位硬纸板夹板外固定治疗儿童尺桡骨远端骨折

Closed Reduction and External Fixation with Hard Paper Splint on the Treatment of Distal Ulnar and Radius Fractures in Children

目的:评价闭合复位联合硬纸板夹板外固定治疗儿童尺桡骨远端骨折的疗效。方法:选择2017年9月至2021年9月收治的尺桡骨远端骨折患儿60例,均采取手法复位硬纸板夹板外固定治疗,于治疗后3个月、6个月、12个月共3次随访,参照《骨与关节损伤》中骨折复位标准评定复位效果,采用Berton评价标准评价患儿术后骨折愈合及腕关节功能恢复情况。结果:手法闭合复位硬纸板夹板外固定治疗尺桡骨远端骨折总疗效较好。结论:闭合复位硬纸板夹板外固定法在儿童尺骨、桡骨远端骨折临床治疗中具有疗效确切、安全性高、并发症少的特点,值得临床推广应用。

Objective:To evaluate the efficacy of closed reduction combined with hard paper splint external fixation in the treatment of distal ulnar and radius fractures in children.Methods:A total of 60 children with distal ulnar and radius fractures,who were admitted between September 2017 and September 2021,were included in this study.All patients underwent manual reduction and external fixation using a hard paper splint.Follow-up evaluations were conducted at 3 months,6 months,and 12 months after treatment.Forearm function was assessed based on the fracture reduction standard of the bone and joint injury classification system.Fracture healing and wrist function recovery were evaluated using the Berton evaluation criteria.Results:The treatment of distal ulnar and radius fractures using closed reduction combined with hard paper splint external fixation demonstrated favorable overall outcomes.Conclusion:Closed reduction combined with external fixation using a specialized cardboard splint showed precise therapeutic effects,high safety,and few complications in the clinical treatment of distal ulnar and radius fractures in children.These findings support the potential clinical utility and promotion of this treatment approach.