Sheng Hong-Feng, Lu Jian-Wei, Guo Qiao-Feng, Huang Kai, Liu Yi-Yang, Wu Zhen, Jiang Bin-Feng, Xu Bin, Zhang Kui, Zhang Pei-Xiang, Lao Yang-Jun
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China.
Zhongguo Gu Shang. 2021 Feb 25;34(2):153-6. doi: 10.12200/j.issn.1003-0034.2021.02.011.
To investigate specific technique and clinical effects of closed folding top consolidation maneuver combined with splint fixation maneuver for consolidation and cedar bark external fixation splint for the treatment of double fractures of distal ulna and radius in children.
From January 2017 to December 2019, 17 children with double fractures of distal ulna and radius were treated with closed folded apex consolidation maneuver, including 13 males and 4 females, aged from 4 to 11 years old with an average of (7.29±2.34) years old. The fractures were fixed with cedar bark splint and followed up for 6 months, and alignment of fracture was evaluated according to the latest X-rays by follow up, and function of the affected limbs was evaluated by Anderson forearm function evaluation criteria.
Fifteen of 17 children were successfully reset immediately, and 2 children were successfully reset again. The average fixed time was (25.00±3.35) days. At 6 months of follow up, 12 patients got excellent results, 3 good, 2 fair, and 0 poor according to Anderson forearm function evaluation criteria. The position of all children were larger than 3/4, and 10 children were received anatomical reduction, alignment of 4 children was less than 10°, 3 children was less than 15°. No complications such as fracture displacement, nonunion, compartment syndrome, and forearm rotation dysfunction occurred.
Restoration of distal radius double fracture in children with the combination of the closed folding and top fixation maneuver and splint fixation maneuver has advantages of higher success rate, lower complications, which could reduce operating difficultyand pain of patients.
探讨闭合折顶复位手法联合杉树皮外固定夹板固定治疗儿童尺桡骨远端双骨折的具体技术及临床疗效。
选取2017年1月至2019年12月采用闭合折顶复位手法治疗的17例儿童尺桡骨远端双骨折患者，其中男13例，女4例；年龄4～11岁，平均（7.29±2.34）岁。骨折采用杉树皮夹板固定，随访6个月，根据末次随访时最新X线评估骨折对位情况，采用Anderson前臂功能评价标准评估患侧肢体功能。
17例患儿中15例即时成功复位，2例再次复位成功。平均固定时间为（25.00±3.35）天。随访6个月时，根据Anderson前臂功能评价标准，优12例，良3例，可2例，差0例。所有患儿骨折对位均大于3/4，解剖复位10例，4例患儿骨折对线小于10°，3例患儿小于15°。未发生骨折移位、骨不连、骨筋膜室综合征及前臂旋转功能障碍等并发症。
闭合折顶复位手法联合夹板固定治疗儿童桡骨远端双骨折成功率高、并发症少，可降低手术难度及患者痛苦。
