Clinical Observation of Pingle GUO's Bone Setting Manipulation Combined with Steel Needle Prying Reduction in Treatment of Mason Ⅱ Type Radial Head Fracture
Objective:To explore the clinical efficacy of Pingle GUO's bone setting manipulation combined with steel needle prying reduction in the treatment of Mason Ⅱ type radial head fracture.Methods:A total of 68 patients with Mason Ⅱ type radial head fracture were randomly divided into the observation group(37 cases)and the control group(31 cases).On the basis of conventional preoperative and postoperative treatment,the control group was treated with open reduction micro-T-shaped titanium plate internal fixation,and the observation group was treated with Pingle GUO's bone setting manipulation combined with steel needle prying reduction and fixation.The operative time,intraoperative blood loss,length of hospital stay,pain score and Broberg-Morrey score of elbow joint function were counted,and safety evaluation was carried out.All patients were followed up for 1 year.Results:After treatment,the pain scores of both groups were lower than those before treatment,and the Broberg-Morrey scores were increased(P＜0.05).Compared with the control group,the operation time and hospital stay in the observation group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,the pain scores at all time points after the operation were lower than those in the control group,and the Broberg-Morrey scores were higher than those in the control group(all P＜0.05).In terms of safety,no serious complications such as postoperative infection and nerve injury occurred in the two groups.There were 2 cases of postoperative Kirschner needle failure in the observation group,1 case of delayed healing and 1 case of ossification myositis in the control group,and there was no statistically significant significance between the two groups(P＞0.05).Conclusion:Pingle GUO's bone setting manipulation combined with steel needle prying reduction and fixation can achieve good functional reduction,achieve clinical healing of fracture,reduce surgical trauma and restore elbow joint function as soon as possible in the treatment of Mason Ⅱ type radial head fracture.
radial head fracturePingle GUO's bone setting manipulationsteel needle pryingminimally inva-sive treatmentBroberg-Morrey scoremicro T-shaped titanium plate
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