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整复

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Results All the patients were confirmed none anomalous anatomic structure about elbow joint by X-ray, and the therapy of manipulative reduction was performed successfully in all of them (7 cases were noncooperation, the second time were successes after being comforted).

结果 本组患儿患肘关节X线检查均无骨骼与关节解剖结构变异,经手法复位均整复成功(其中7例患儿不合作,哄好后再次复位成功)。

Methods elbows were flexed 90°, forearm supinated 90° and abducted 15-25°.

采用手法整复,屈肘90°、前臂旋后90°和外展15°~25°位长臂石膏托矫形固定,必要时配合闭式穿针内固定。

Methods The elbows were flexed 90°, forearm supinated 90° and abducted 15-25°.

采用手法整复,屈肘90°、前臂旋后90°和外展15°~25°位长臂石膏托矫形固定,必要时配合闭式穿针内固定。

Objective To evaluate non-operative treatment of supracondylar fracture of humerus in children.Methods The elbows were flexed 90°, forearm supinated 90° and abducted 15-25°.

目的 提供合理的治疗方法,预防小儿肱骨髁上骨折并发症发生方法采用手法整复,屈肘90°、臂旋后90°和外展15°~25°位长臂石膏托矫形固定,必要时配合闭式穿针内固定。

Methods Through the intro-oral approach,we used grinding bit to excise the sclerotin of the mandible angle.

口腔内入路行双侧下颌角突出磨骨整复,磨除双侧突出下颌角以及下颌平台骨质。

Fixation is also closed after the whole complex of small plywood or gypsum fixation and open reduction and plate or screw and metal nail.

固定方法也有闭合整复后小夹板或石膏固定和切开复位钢板或螺钉以及金属钉固定。

Result:(1) The max supporting weight of saddle-backed waist splint is 90 kg in the bed exercise, applicable to people who have spine length 73cm~67cm( about body height 178cm~165cm)(2) the height of the gas filled pillow is 5cm~15cm (3) The height of the gas filled pillow should be adjusted according to different patient (4) the press on the abdomen deliver by front part of saddle-backed waist splint is 3336 kpa; Standard piece of waist line is 94cm~70cm, elastic force is 180N .

结果:﹙1﹚鞍式腰托在卧床锻炼时的最大承重量为90㎏,适用脊柱长度为 73 ㎝67 ㎝(约身高178 ㎝165 ㎝)。﹙2﹚充气垫枕的高度为5㎝15㎝。﹙3﹚针对不同病人的身高﹐应适当的调整充气垫枕的高度以及指导锻炼时的拉伸高度。﹙4﹚下地后鞍式腰托前板能给腹部压力为3336kpa;标准件的弹性腰围为64㎝ 90㎝﹑弹性力为180N。结论:鞍式腰托在通过力学测试以及临床应用﹐已基本符合脊柱胸腰段(T11L2)椎体屈曲型稳定性压缩骨折的复位要求,具有简便安全而有效的整复与固定作用。具有较强的实用性,值得进一步研究开发。

12patients were given fracture reduction,then penetrated 2 pieces of 3.5mm bony circular needle through fracture sections,tighten the jion-arm nut,the fracture sections will get in touch each other closely,then close the wound.Functional exercises would be given after 3 weeks.When X plain showed us the fracture reach or almost reach clinic heal,remove the external fixator which was substituted by using the small splint for protection untill fracture heal completely.

方法12例患者经整复骨折后,在骨折断端各贯穿2枚3.5mm骨圆针,旋紧连接杆螺母使骨折面紧密接触,然后根据伤口具体情况关闭伤口。3周后功能锻炼。X线复查证实骨折达到或接近临床愈合时拆除外固定器,改用小夹板保护至骨折完全愈合。

Setting-up exercises not only make the muscles relax, you can also play a role in accelerating blood runs to achieve the purpose of Shujinhuoxue, the most important reason is that it can muscle restoration, loosen adhesions, lift the spasm.

保健操不仅可以使肌肉放松,还可以起到加快气血运行的作用,达到舒筋活血的目的,最重要的是可以理筋整复、松解粘连、解除痉挛。

When pelvic girdle is symmetrical equilibrium condition to health will be helpful. So manual therapy of the joints applied to shape hips, to being helpful health such as long-term serious waist of some persons, with shoulders slope unevenly, knee activity is not suitable, the obvious feeling disappears or is being improved in the first treatment time.

当骨盆带处於左右对称平衡时,对健康是有帮助的,在本研究中有部份人士的长期的严重腰部酸痛、双肩倾斜不均、膝盖活动不顺等,在第一次整复时均明显感觉消失或有被改善。

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