陈建琨教授对前臂骨折的诊疗经验总结

Professor CHEN Jiankun’s experience in diagnosis and treatment of forearm fractures

前臂骨由尺骨和桡骨组成,前臂骨折可分为尺骨骨折、桡骨骨折以及尺桡骨双骨骨折。前臂骨折的发生率占全身骨折的12.7%,是临床上较为常见的骨折。虽然目前临床上治疗前臂骨折的方式较多,但是一些并发症如疼痛,肿胀,腕、肘关节活动功能障碍及创伤性关节炎等如处理不当仍会严重影响患者的生活质量。昆明市中医医院骨伤科陈建琨教授从事骨科疾病研究与诊疗20余年,对中西医结合治疗前臂骨折有着丰富且独到的见解。诊断前臂骨折,他灵活运用“三期辨证”原则,更好地确定了患者病情。手法复位治疗,他深谙“微创”治疗理念,运用“漂浮正骨法”,最小地减轻了患者复位产生的伤痛。固定骨折治疗,他倡导运用小夹板固定,创新地将三根扎带捆绑,转变为四根扎带捆绑,促进了断骨生长。在骨折康复期,陈教授根据“内外同治”“柔筋”及“玄府理论”等传统中医思想进行拟方,将自拟外洗方运用于恢复骨折功能的康复治疗之中,促进了患者更好地痊愈。陈建琨教授将以上经验应用于临床之中,骨折复位成功率高,功能恢复效果佳,同时降低了患者相关并发症发生风险。文章结合案例,介绍陈建琨教授治疗前臂骨折的经验,以期为临床提供参考。

Forearm bone is composed of ulna and radius.Forearm fracture can be divided into ulna fracture,radius fracture and ulna radius double bone fracture.The incidence of forearm fracture accounted for 12.7%of total body fracture,which was a common fracture in clinic.Although there are many ways to treat forearm fractures in clinic,some complications such as pain,swelling,wrist and elbow movement dysfunction and traumatic arthritis,if not handled properly,will still seriously affect the quality of life of patients.Professor CHEN Jiankun,from the Department of orthopedics,Kunming traditional Chinese medicine hospital,has been engaged in the research and treatment of orthopedic diseases for more than 20 years,and has rich and unique views on the treatment of forearm fractures with the integrative medicine.For the diagnosis of forearm fracture,he flexibly apply the principle of three-stage syndrome differentiation to better determine the patient’s condition.For the manual reduction,he is well versed in the concept of minimally invasive treatment and uses the floating bone setting method to minimize the pain caused by reduction.For the fixed fracture treatment,he advocated the use of small splint fixation,innovatively binding three ties into four ties,which promoted the growth of patients’broken bones.For the recovery period of fracture,Professor CHEN made prescriptions according to TCM ideas such as internal and external treatment,Rou Jin(柔筋)and Xuanfu theory(玄府理论),and applied the self-made external washing formula to the rehabilitation treatment of fracture function,which promoted the better recovery of patients.Professor CHEN applied the above experience to clinical practice,resulting in a high success rate of fracture reduction,excellent functional recovery,and reduced the risk of patient’s related complications.This article combines cases to introduce Professor CHEN Jiankun’s experience in treating forearm fractures,in order to provide reference for clinical practice.