| 杉树皮夹板固定治疗肱骨髁上骨折预防肘内翻的研究 |
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| 引用本文： | 张玉柱,王国平,王人彦. 杉树皮夹板固定治疗肱骨髁上骨折预防肘内翻的研究[J]. 中医正骨, 2000, 12(2): 11-13 |
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| 作者姓名： | 张玉柱 王国平 王人彦 |
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| 作者单位： | 浙江省富阳市中医骨伤科医院!311400(张玉柱，王国平，王人彦，周军，孙晓)，浙江大学(吕荣坤) |
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| 摘 要： | 根据已矿名老中医张绍富的经验，采用手法整复、杉树皮夹板屈肘前臂旋前位固定的方法治疗肱骨髁上骨折１２０例。经１８个月随访，结果优良率达８３．３４％，肘内翻发生率为１５．２％，明显优于文献报道的各种疗法。运用传感器对不同固定体位下骨折断端间内外侧皮质骨处的压力变化进行测量，证明屈肘旋前位时夹板固定效力最大，断端最稳定，移位倾向最小，能有效预防肘内翻的发生。认为屈肘前臂旋前位固定是治疗肱骨髁上骨折的最佳
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| 关 键 词： | 肱骨髁上骨折 治疗 骨折固定术 杉树皮夹板 |
A CLINICAL STUDY ON THE TREATMENT OF SUPRACONDYLAR FRACTURE OF THE HUMERUS AND THE PREVENTION OF CUBITUS VARUS BY FIR-BARK SPLINT FIXATION |
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| Abstract: | Based on the experience of Mr. Zhang Shaofu, a famous TCM physician, 120 cases of supracondylar fracture of the humerus were treated by manipulative reduction and fir bark splint fixation with the elbow flexed and the forearm pronated. The follow up of 18 months showed that the excellent good rate reached 83.34 % and the incidence of cubitus varus reached 15.2 %, having a significant advantage over those of the various therapies reported in the literatures. The pressure changes in the medial and lateral cortical bones between the two fragments were measured in different fixation positions by a sensor. The results showed that the splint fixation with the elbow flexed and the forearm pronated could produce the greatest fixating force, the greatest fragmental stability and the least tendency of the displacement, and thus effectively prevent cubitus varus from occurring, being the best fixating method for supracondylar fracture of the humerus. |
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| Keywords: | supracondylar fracture of the humerus/treatment fracture immobilization elbow flexing and forearm pronating position biomechanics clinical study |
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