Clinical Observation 30 Cases on the Treatment of Pediatric Angular Deformity of Tibia and Fibular Shaft Fractures with Manipulation and Wedge-cut Plaster
Objective:To observe the clinical effect of traditional Chinese medicine manipulation combined with wedge-cut plaster in the treatment of angulation deformity of tibia and fibular shaft fractures in children.Methods:A total of 60 children with angular deformity of tibial and fibular shaft fractures who were diagnosed and treated in our hospital from June 2017 to June 2021 were selected,all of them were reduced by closed TCM manipulation,and randomly divided into observation group(wedge-cut plaster fixation)and Control group(plaster immobilization),30 cases in each group.Follow-up was performed at 1,2,4,6 weeks and 6 months after treatment.The imaging results of X-ray films before and after restoration were compared,and the fracture redisplacement,fracture angulation,VAS pain score,and the presence or absence of complications were recorded.Results:Both groups of patients were effectively followed up.One week after fracture reduction,the VAS pain score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).At 2 weeks after reduction,there was no significant difference in the VAS pain score between the two groups(P>0.05).Before repositioning,on the frontal and lateral X-ray films,the observation group was(18.2±7.8)°,(19.6±4.4)°,the control group was(17.7±6.0)°,(20.9±5.1)°,respectively.The difference was not statistically significant(P>0.05);after reduction,in the anterior and lateral X-ray films,the observation group was(2.1±0.7)°,(3.5±1.0)°,and the control group was(6.6±2.4)°,(8.1±2.9)°,the difference was statistically significant(P<0.05);but after 6 months of follow-up,there was no statistical significance between the two groups(P>0.05).After 6 months of follow-up,there was no significant difference in the excellent and good rate of Flynn between the two groups(P>0.05).The proportion of re-displacement in the first 2 weeks after surgery was lower in the observation group(2/30)than in the control group(9/30),and the difference was statistically significant(P<0.05).Conclusion:TCM manipulation combined with wedge-cut plaster is effective in treating angulation deformity of tibial and fibular shaft fractures in children.It can effectively correct the angulation of fracture ends and reduce the probability of fracture redisplacement.
Tubular PlasterWedge CorrectionManual ReductionTibia and Fibula Shaft FracturesChildren
万方数据
维普
