中医正骨
中醫正骨
중의정골
THE JOURNAL OF TRADITIONAL CHINESE ORTHOPEDICS AND TRAUMATOLOGY
2001年
5期
15-16
,共2页
李跃先%张作君%陈新宇%王俊颀%杨林平%刘兴才%陈映耀%闫占民%郭建安%王明忠
李躍先%張作君%陳新宇%王俊頎%楊林平%劉興纔%陳映耀%閆佔民%郭建安%王明忠
리약선%장작군%진신우%왕준기%양림평%류흥재%진영요%염점민%곽건안%왕명충
鹰嘴骨折/治疗%骨折固定术%鹰嘴抓复固定器/仪器和设备%临床观察
鷹嘴骨摺/治療%骨摺固定術%鷹嘴抓複固定器/儀器和設備%臨床觀察
응취골절/치료%골절고정술%응취조복고정기/의기화설비%림상관찰
olecranal fracture/treatment fracture immobilization olecranalgrasping-reposition fixator/medical appliance clinical observation
为观察自行研制的抓复固定器的临床疗效，对60例鹰嘴骨折患者进行了临床观察。结果显示，用该固定器固定后患肘关节即刻可以屈伸130°以上者47例，占78.33%；3日内可主动屈伸肘关节130°以上者54例，占90%；1周内可屈伸肘关节130°以上者58例，占96.67%；治疗优良率达98.94%。认为与手法复位小夹板固定及手术复位内固定疗法比较，抓复固定器治疗鹰嘴骨折具有操作简便、可免于或少用X线透视、不需其他辅助设备、创伤小、固定后骨折稳定、可即刻或早期进行患肘关节活动等诸多优点，值得进一步推广应用。
為觀察自行研製的抓複固定器的臨床療效，對60例鷹嘴骨摺患者進行瞭臨床觀察。結果顯示，用該固定器固定後患肘關節即刻可以屈伸130°以上者47例，佔78.33%；3日內可主動屈伸肘關節130°以上者54例，佔90%；1週內可屈伸肘關節130°以上者58例，佔96.67%；治療優良率達98.94%。認為與手法複位小夾闆固定及手術複位內固定療法比較，抓複固定器治療鷹嘴骨摺具有操作簡便、可免于或少用X線透視、不需其他輔助設備、創傷小、固定後骨摺穩定、可即刻或早期進行患肘關節活動等諸多優點，值得進一步推廣應用。
위관찰자행연제적조복고정기적림상료효，대60례응취골절환자진행료림상관찰。결과현시，용해고정기고정후환주관절즉각가이굴신130°이상자47례，점78.33%；3일내가주동굴신주관절130°이상자54례，점90%；1주내가굴신주관절130°이상자58례，점96.67%；치료우량솔체98.94%。인위여수법복위소협판고정급수술복위내고정요법비교，조복고정기치료응취골절구유조작간편、가면우혹소용X선투시、불수기타보조설비、창상소、고정후골절은정、가즉각혹조기진행환주관절활동등제다우점，치득진일보추엄응용。
Sixty cases with olecranal fracture were treated bygrasping-reposition fixator (a kind of self-made reductor-fixator), the cases of the movable angulation in flexion and extension of the elbow joints more than 130° at once after fixation, 3 days after fixation, 1 week after fixation were 47 cases(78.33％)， 54 cases(90％）， 58 cases(96.67％) respectively. Comparing with small splint immobilization in manual reduction and internal fixation in operative reduction, the grasping-reposition fixator has some advantages such as simple fixation without the need of supplementary equipment, free of X-ray, little injury, reliable fixation, allowing the elbow joint to make active exercises at once or early after fixation, so it is worth application and dissemination.
