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目的:观察儿童尺桡中下1/3骨折手法复位及小夹板夹缚固定治疗的临床疗效。方法:对2011年2月-2014年3月我院收治的29例儿童尺桡骨中下1/3骨折采用手法复位和小夹板夹缚固定,早期患处外敷凡士林加大黄粉,内服云南红药,指导适当的功能锻练,中期调整夹板松紧度,皮肤涂凡士林,定期X光片检查配合功能锻炼,后期骨折外洗中药治疗,观察其治疗效果。结果:经过3期治疗后,骨折愈合良好,活动功能良好。结论:儿童尺桡中下1/3骨折经手法整复、小夹板夹缚固定治疗,骨折全部达临床愈合标准,功能活动良好,临床效果明显。
OBJECTIVE: To observe the clinical effect of middle and lower 1/3 fracture reduction and small splint fixation in children. Methods: From February 2011 to March 2014, 29 cases of middle and lower third of the ulna and radius fracture in our hospital were treated with manual reduction and small splint fixation. In the early stage, the external application of petrolatum plus yellow powder, oral administration of Yunnan red drug, Guided the appropriate functional training, interim adjustment splint tightness, skin coated Vaseline, regular X-ray examination with functional exercise, post-external fracture treatment of traditional Chinese medicine treatment to observe the therapeutic effect. Results: After 3 stages of treatment, the fractures healed well and their activities were good. Conclusion: The middle and lower third fractures of the ulnar radius in children are treated by manual manipulation and small splint fixation. All the fractures reach the standard of clinical healing and the functional activities are good. The clinical effect is obvious.