| 麦少卿,章道胜.中西医结合治疗四肢骨干骨折畸形愈合——附130例远期疗效分析[J].中国中西医结合杂志,1984,(7):408-410,387 |
| 中西医结合治疗四肢骨干骨折畸形愈合——附130例远期疗效分析 |
| A Follow-up of 130 Cases of Old Extremity Diaphyseal Fractures with Deformity Treated with Close Reduction |
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| DOI： |
| 中文关键词: 骨折畸形愈合 四肢骨干骨折 疗效分析 下肢骨折 复位治疗 功能锻炼 手法复位 陈旧性骨折 内固定 神经损伤 |
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| 中文摘要: |
| 中西医结合闭合复位治疗四肢骨干骨折畸形愈合130例,远期疗效随访优良率达93.1%,说明用闭合手法复位安全、可行,可使大部分患者免于开放手术治疗的痛苦。 |
| 英文摘要: |
| The old extremity fractures with deformity formerly were treated with open reduction and internal fixation,and often brought on complications.Since 1974,we began to treat such cases according to Chinese traditional medical theories by changing old fractures into new fractures and avoiding open reduction in most of the cases.130 cases have been followed up 1-7 years,chiefly fibrillar union or partial boned union, including 9 fractures of surgical neck of humerus,37 supra condylar fractures of humerus,17 fractures of both ulnar and radial bones,20 Colles’ fractures,36 diaphyseal fractures of femur,11 fractures of both tibia and fibula.Close reduction was performed under anesthesia according to TCM principle,consisting of manual refracture,close reduction,and external immobilization,herb treatment,and functional exercises. Follow-up results were as follows:excellent in 80 cases(61.6%),good in 41 cases(31.5%),and poor in 9 cases (6.9%).Cases with poor result or complications were analysed.We conclude that the following four points merit attention:(1)Since manual refracture in the key point,care must be exercised to choose the right cases and proper manipulation.(2)If it is difficult to employ close reduction and external immobilization,open reduction and internal fixation should be used instead to avoid complication.(3)Functional fixation is sometimes preferred to anatomical fixation as the former also gets the similar curative effect.(4)Herb treatment and functional exercises help increase the curative effect. |
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