[1]刘红喜,毕军伟,米仲祥,等.陇中正骨手法配合两种外固定法治疗旋后内收型踝关节骨折临床观察[J].西部中医药,2018,31(11):35-38.
　LIU Hongxi,BI Junwei,MI Zhongxiang,et al.Clinical Observation on LongZhong′s Bone-setting Manipulation Combined with Two Kinds of External Fixation Methods in the Treatment for Lauge-Hansen Supination-adduction Type Ankle Fracture[J].Western Journal of Traditional Chinese Medicine,2018,31(11):35-38.
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陇中正骨手法配合两种外固定法治疗旋后内收型踝关节骨折临床观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年11期
页码:
35-38
栏目:
出版日期:
2018-11-15

文章信息/Info

Title:
Clinical Observation on LongZhong′s Bone-setting Manipulation Combined with Two Kinds of External Fixation Methods in the Treatment for Lauge-Hansen Supination-adduction Type Ankle Fracture
文章编号:
1004-6852(2018)11-0035-04
作者:
刘红喜1，毕军伟1，2，米仲祥1，陈志伟1
1 甘肃省中医院，甘肃 兰州 730050； 2 天津中医药大学
Author(s):
LIU Hongxi1, BI Junwei1, 2, MI Zhongxiang1, CHEN Zhiwei1
1 Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China; 2 Tianjin University of Traditional Chinese Medicine
关键词:
踝关节骨折; Lauge-Hansen分型; 外固定; 陇中正骨手法
Keywords:
ankle fracture;  Lauge-Hansen type;  external fixation;  LongZhong′s bone-setting manipulation
分类号:
R364
文献标志码:
A
摘要:
目的：观察陇中正骨手法配合两种外固定方法治疗Lauge-Hansen旋后内收型踝关节骨折的临床疗效。方法：将旋后内收型踝关节骨折患者64例随机分为治疗组、对照组各32例，2组均先采用陇中正骨手法予以良好复位，之后治疗组采用新型低温热塑支具固定，对照组采用传统石膏外固定，随访12～22个月。采用Olerud-Molander踝关节功能评分系统评价2组疗效，并观察并发症发生情况(严重红肿、严重瘙痒、皮肤压疮、骨折再移位)。结果：优良率治疗组为87.5%，对照组为62.5%，2组比较差异有统计学意义(P＜0.05)；并发症发生率治疗组为12.5%，对照组为53.1%，2组比较差异有统计学意义(P＜0.05)。结论：采用陇中正骨手法配合低温热塑型支具治疗Lauge-Hansen旋后内收型踝关节骨折临床疗效优于配合传统石膏外固定治疗，而且并发症少。
Abstract:
Objective: To observe clinical effects of LongZhong′s bone-setting manipulation combined with two kinds of the fixation methods in treating Lauge-Hansen supination-adduction type ankle fracture. Methods: All 64 patients were randomized into the treatment group and the control group, 32 cases each group, the patients in both groups were resetted by LongZhong′s bone-setting manipulation, and then the treatment group were fixed by low temperature thermoplastic orthosis, while the control group accepted external fixation by traditional plaster, they were followed from 12 to 22 months. Clinical effects of both groups were assessed by Olerud-Molander ankle function scoring system, the incidences of the complications (severe redness and swelling, severe itching, skin pressure sore, fracture displacement) were observed. Results: The excellence rate of the treatment group was 87.5%, higher than 62.5% of the control group, and the difference had statistical meaning (P＜0.05); the incidence of the complications of the treatment group was 12.5%, lower than 53.1% of the control group, and the difference was statistically significant (P＜0.05). Conclusion: LongZhong′s bone-setting manipulation combined with low temperature thermoplastic orthosis in treating Lauge-Hansen supination-adduction type ankle fracture could obtain better clinical effects of traditional plaster with fewer complications.

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[1]南学彦,毕军伟,指导：赵道洲.赵道洲教授运用侧旋复位整复踝关节骨折经验小结[J].西部中医药,2015,28(06):45.[doi:2015/6/16 0:00:00]
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备注/Memo

备注/Memo:
收稿日期：2018-02-20 作者简介：刘红喜(1973—)，男，副主任医师。研究方向：复杂骨折、骨感染与骨不愈合的防治。
更新日期/Last Update: 2018-11-15