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自制骨折膏方治疗骨折患者77例临床观察
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作者 帅海荣 《福建茶叶》 2019年第11期7-7,共1页
目的观察自制骨折膏方治疗骨折病人的临床疗效。方法将154例骨折患者随机分成2组,A组(对照组)77例采用骨折闭合复位固定或手术+常规药物治疗,B组(观察组)77例在A组治疗基础上联合自制骨折膏方辩证治疗。在治疗后第1个月、第3个月和第6... 目的观察自制骨折膏方治疗骨折病人的临床疗效。方法将154例骨折患者随机分成2组,A组(对照组)77例采用骨折闭合复位固定或手术+常规药物治疗,B组(观察组)77例在A组治疗基础上联合自制骨折膏方辩证治疗。在治疗后第1个月、第3个月和第6个月时进行疼痛视觉类比评分(VAS)及骨折愈合程度比较。结果所观察154例患者均获得随访。2组患者治疗后不同时间点VAS评分与治疗前比较均有明显改善;治疗后第1个月及3,6个月时VAS评分及骨折愈合程度2组较治疗前均有改善,但临床疗效B组明显优于A组。结论骨折病人采用骨折闭合复位固定或手术+常规药物治疗联合自制骨折膏方治疗对疼痛缓解及促进骨折愈合更有效。 展开更多
关键词 骨折病人 骨折闭合复位固定或手术+常规药物治疗 自制骨折膏方治疗
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个性化护理服务在对股骨颈骨折患者进行护理中的应用效果 被引量:2
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作者 齐桂兰 《当代医药论丛》 2018年第8期221-223,共3页
目的:探讨个性化护理服务在对股骨颈骨折患者进行护理中的应用效果。方法:将2015年8月至2017年8月期间忻州市第二人民医院骨科收治的90例股骨颈骨折患者作为研究对象。将这90例患者随机平均分为A组和B组。对两组患者均进行骨折复位固定... 目的:探讨个性化护理服务在对股骨颈骨折患者进行护理中的应用效果。方法:将2015年8月至2017年8月期间忻州市第二人民医院骨科收治的90例股骨颈骨折患者作为研究对象。将这90例患者随机平均分为A组和B组。对两组患者均进行骨折复位固定治疗及常规护理。在此基础上,对B组患者进行个性化护理。然后,比较两组患者并发症的发生率及其对护理服务的满意率。结果:接受护理后,与A组患者相比,B组患者并发症的发生率更低,其对护理服务的满意率更高(P<0.05)。结论:对股骨颈骨折患者进行个性化护理的效果显著,可明显降低其并发症的发生率,提高其对护理服务的满意率。 展开更多
关键词 股骨颈骨折 骨折复位固定治疗 个性化护理
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早期康复护理在切开复位内固定术治疗跟骨骨折术后的应用效果 被引量:7
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作者 张淑芳 《首都食品与医药》 2018年第24期97-97,共1页
目的分析切开复位内固定术治疗跟骨骨折术后对患者进行早期康复护理的效果。方法将60例切开复位内固定术治疗跟骨骨折术后患者分为两组,对常规组进行常规护理,研究组以常规护理为基础,实施早期康复护理,对比两组患者护理效果。结果在护... 目的分析切开复位内固定术治疗跟骨骨折术后对患者进行早期康复护理的效果。方法将60例切开复位内固定术治疗跟骨骨折术后患者分为两组,对常规组进行常规护理,研究组以常规护理为基础,实施早期康复护理,对比两组患者护理效果。结果在护理结束后,研究组护理效果优于常规组,两组差异有统计学意义(P>0.05)。结论对切开复位内固定术治疗跟骨骨折术后的病人实施早期康复护理,能够缓解患者的疼痛程度,患者满意度较高。 展开更多
关键词 早期康复护理 切开复位固定治疗跟骨骨折术后 应用效果
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Open reduction and internal fixation for displaced supracondylar fractures of the humerus in children with crossed K-wires via lateral approach 被引量:13
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作者 Shahid Hussain Manzoor Ahmad Tufail Muzaffar 《Chinese Journal of Traumatology》 CAS CSCD 2014年第3期130-135,共6页
Objective: To assess the therapeutic results of open reduction and internal fixation with crossed K-wires via lateral approach for displaced supracondvlar fractures of the humerus in children. Methods: We prospecti... Objective: To assess the therapeutic results of open reduction and internal fixation with crossed K-wires via lateral approach for displaced supracondvlar fractures of the humerus in children. Methods: We prospectively followed 52 children who presented with Gartland type 3 displaced supraeondylar fractures of the humerus and were managed by open reduction and internal fixation with crossed K-wires via lateral approach.There were 37 male and 15 female patients; average age was 7.39 years. The most common mechanism of trauma was fall while playing (n=23), followed by fall from height (n=20), road traffic accidents (n-5) and fall from standing height (n=2). In 2 cases, mode of injury was not available. The mean follow-up was 12 months and patients were assessed according to Flynn's criteria. Results: Lateral approach provided an excellent view of the lateral column between two nervous planes and enabled an anatomical reduction in all cases. Immobilizing the elbow at 90 degrees or more of flexion was not needed after cross K-wire fixation. Majority of patients regained full range of motion within 6 weeks of pin removal. Two patients had postoperative ulnar nerve injuries that resolved after pin removal. The common late complication of cubitus varus was not seen in any patient. Delayed presentation to the emergency department, repeated manipulations by bone setters and massage with edible oil were responsible for stiffness in 5 patients. Superficial pin tract infection was noted in 5 patients that resolved with dressings and antibiotics. No deep infection occurred. A detailed clinical examination and radiographic analysis was done at final follow-up. They included measurement of carrying angle and range of movements of both operated and normal sides, and radiographs of both upper limbs for comparison. According to Flynn's criteria, 90.4% patients showed satisfactory results. Conclusion: Lateral approach for open reduction and internal fixation of the widely-displaced supracondylar fracture of the humerus is safe and straightforward, ensuring anatomical reduction and excellent function. The approach is easy and familiar to most orthopedic surgeons in our setup. 展开更多
关键词 Humeral fractures Fracture fixation internal Bone wires CHILD
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Monteggia fracture dislocation equivalents analysis of eighteen cases treated by open reduction and internal fixation 被引量:4
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作者 Ajay Pal Singh Ish Kumar Dhammi +2 位作者 Anil Kumar Jain Rajeev Raman Prashant Modi 《Chinese Journal of Traumatology》 CAS 2011年第4期221-226,共6页
Objective: Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mec... Objective: Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods: A retrospective record of Monteggia frac- ture dislocation (2003-2008) was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI & Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results: Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions: Monteggia fracture dislocation equiva- lents are rare injuries and pre-surgery recognition by radio- graphs and 3-D CT helps make optimal plan. The poor results usually relate to intraarticular damage, coronoid fractures and comminution of the ulna and radial head fractures. 展开更多
关键词 Monteggia's fracture Radius fracture ULNA
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