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目的 介绍一种治疗儿童骨伤的新方法。方法 应用手指引导法治疗的儿童长骨骨折136例 ,其中肱骨颈骨折 12例 ,肱骨干骨折 8例 ,肱骨髁上骨折 6 5例 ,尺桡骨双骨折 2 6例 ,股骨干骨折2 2例 ,开放性桡骨远端骨折 2例 ,开放性胫骨骨折 1例。手指引导法 :对于闭合性骨折 ,行小切口切开复位 ,术者用食指指端进行探查以协助复位 ,对于开放性骨折 ,术者很容易用食指指端探到骨折端 ,以协助良好复位。全部随访至骨折愈合 (3个月至 1年 2个月 ,平均 5个月 )。结果 除 3例外 ,其余所有病例愈后功能和外观满意。结论 对有切开复位适应症的儿童长骨骨折 ,建议改为手指引导法治疗。该方法快速简单、损伤较小、安全实用。
Objective To introduce a new method of treating bone injury in children. Methods 136 cases of long bone fractures were treated with finger-guided method. Among them, 12 cases were humerus fractures, 8 cases were humerus fractures, 65 cases were supracondylar humerus fractures, 26 cases were ulna and radius fractures, 22 cases were femoral shaft fractures and 2 cases were open 2 cases of distal radius fractures, 1 case of open tibial fractures. Finger guidance method: For closed fractures, small incision open reduction, the surgeon with the index finger end exploration to assist in the reset, for open fractures, the surgeon is very easy to use the index finger to explore the fracture tip to assist in a good reset . All patients were followed up until fracture healing (3 months to 1 year and 2 months, an average of 5 months). Results except 3 cases, the rest of the patients after the function and appearance of satisfaction. Conclusion There are indications for the incision and reduction of long bone fractures in children, the proposed change to the finger-guided treatment. The method is fast and simple, less damage, safe and practical.