郑氏正骨手法治疗桡骨远端关节内粉碎性骨折36例

目的 探讨通过郑氏正骨手法、小夹板及中立板外固定治疗桡骨远端关节内粉碎性骨折的临床效果.方法 2009年1月-2010年6月采用郑氏正骨手法治疗桡骨远端关节内粉碎性骨折36例,骨折分型为AO C型,采用臂丛神经麻醉下郑氏正骨手法复位,小夹板、中立板外固定.骨折临床愈合时间6~8周,平均7周.治疗期问辅以活血化瘀、续筋接骨中药口服及指导功能锻炼.结果 36例患者均获得随访,随访时间3~6个月,平均4个月,末次随访时,腕关节功能评分(Gartland-Werley功能评分):优18例,良12例,可6例.结论 郑氏正骨手法整复并小夹板、中立板外固定是治疗桡骨远端关节内粉碎性骨折的有效方法,能尽可能避免手术治疗及其二次手术取除内固定所带来的痛苦,在达到较好疗效的同时又减少了医疗费用投入.

Zhengshi Bone-setting manipulation treatment of intra-articular distal radius comminuted fracture in 36 cases

Objective To investigate the bone-setting techniques by Zhengshi,splint and neutral plate fixation of intra-articular distal radius fractures of the clinical effects.Methods 2009.1~2010.6 Zhengshi bone-setting techniques used on the treatment of intra-articular distal radius fractures in 36 cases,fracture classification for the AO C-type,the use of brachial plexus anesthesia in orthopedic manual reduction Cheng,splints,neutral plate fixation.Fracture healing time of 6~8 weeks,an average of 7 weeks.Supplemented by blood circulation during treatment,continued reinforcement of oral medicine and bone functional exercise guidance.Results 36 patients were followed up for 3~6 months,an average of 4 months and last follow-up,wrist function score(Gartland-Werley functional score): excellent in 18 cases,good in 12 cases,6 cases.Conclusion Zhengshi orthopedic manipulative and splints,external fixation is the treatment of neutral plate distal radial intra-articular fractures of the effective ways as possible to avoid surgery and second surgery to take in addition to the pain caused by fixation,achieve better efficacy in reducing health care costs while investment.