摘要
目的 :探讨骨折复位后再移位及功能恢复欠佳的原因。方法 :采用相应的防治措施 ,通过运用小夹板固定 ,前臂两期体位摆放 ,三角巾两期应用 ,动静结合的功能锻炼及中后期的熏洗等法治疗。结果 :186例病人中优 10 1例 ,占 54 .3 % ;良 4 2例 ,占 2 2 .6% ;可 2 4例 ,占 12 .9% ;差 19例 ,占 10 .2 %。经过 4个月至 2年 ,平均 1年 1个月的随访 ,取得满意疗效。结论 :治疗Smith骨折是一个动静结合的过程 ,应注意在维护骨折端各肌肉之间动态的稳定的基础上 ,充分发挥中医治疗的特色 ,才能进一步提高小夹板固定治疗的疗效。
Objective:We have summarized 186 cases of smith-fracture and analyzed the cause of re-displacement after reduction and poor functional recovery.Methods: Corresponding measures, including fixing the fracture with splintlet, placing the forearm and utilizing triangle-towel in two stages, functional exercise on principle of associating activity with inertia and fumigating and washing with TCM herbal decoction. Results:The results of follow-up of average duration of one year and one month (four months to two years) were satisfactory. Conclusions:The paper indicates that treating smith-fracture is a process of combining activity with inertia and, to enhance the effect of splintlet-fixation, attentions should be paid to upholding the developing stability of muscle around the fracture-endings and bring TCM characteristics into full play.
出处
《山西中医学院学报》
2000年第2期19-20,共2页
Journal of Shanxi College of Traditional Chinese Medicine
