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<案例>施王氏正骨手法 免伤者手术之痛
发布时间:2023-03-07 | 来源:西昌王氏骨科专科医院 | 浏览:12
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     医生,我手打篮球整断了,这边医院要求手术治疗,我想到你们医院治疗,能给我留个单间床位不?2020年7月12日19:30我院值班室接到了一个州外的咨询电话。

    “别急,先把X片发给我看看”。根据我院多年接诊和服务体育局篮球赛事的经验来看,打篮球摔的尺桡骨骨折居多,多数可以采用王氏手法复位和小夹板固定,不用住院。值班人员脑海里迅速浮现出一幕幕的手法复位场景来。

   与伤者互加微信后,伤者将伤肢X片传了过来:桡骨下段骨折、错位短缩;桡骨中段骨折术后、尺骨茎突陈旧性骨折。

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(受伤时X片)

   我们可以试一试手法复位,如果复位不理想再考虑手术治疗。伤者认同我院给出的治疗方案。不顾路途遥远和雨天路况不佳,随即请代驾往西昌赶,于当晚11:32到达我院。

   仔细阅片、详细询问病史和伤者充分沟通:伤者多年前桡骨中段骨折行钢板内固定,一年前螺钉断裂,使用断钉取出器去除内固定,现钉道仍可见。采用手法复位,担心在手法牵伸复位时造成再次骨折。

   方法:根据骨折复位“欲合先离,离而复合”的道理先双人平行牵拉,充分拔伸牵引,使骨折断端重合部分分离,减少短缩畸形近端牵拉者辅以轻微旋转,运用自身肌肉组织的力量带动,术者采用王氏正骨手法中的折頂、端提技法复位。行X片检查,骨折短缩已纠正、对位对线良好复位成功,病员带我院院内制剂(七红活血胶囊)回家观察。 

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(复位后X片)

   7月16日,伤者回院复诊。伤肢略肿胀、夹板外固定稳定,骨折对位对线良好,继续居家恢复。

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   (今日复查X片)

知识链接:手法复位是骨伤科的治疗手段,利用徒手将骨折、脱位之关节复位。骨折的手法复位有八种基本手法,分别为手摸心会、拔伸牵引、旋转回绕、屈伸收展、成角折頂、端挤提案、夹挤分骨、摇摆触碰脱位的手法复位名称很多,根据脱位关节的不同而名称各异,但总的理论基础是一样的,先顺畸形方向牵拉,再运用旋转、屈伸、端提挤按等手法将脱位的骨端轻巧地送回原位,术时手法要轻柔,用力要稳缓,逐渐加大牵引力,避免因手法粗暴而引起关节囊或肌腱的撕裂及血管神经损伤,甚至骨折。

王氏骨科医院门诊部简介:以独特的“王氏正骨”学术思想和医疗体系为指导,坚持以中医为主、中西医结合的治疗方法,继承和发扬王氏手法复位、小夹板固定治骨疗伤的特色传统。设有王文祥传承工作室、专家门诊、重点专科门诊、普通门诊和急诊诊断室,每年开展骨折手法复位1000余例,为广大病员,特别是老人、儿童减少了痛苦和减低了手术风险。


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声明:本文文字转载、图片收集自网络,如有侵权,请及时告知我们,我们将在最短的时间内删除。

祖传技艺.专利制剂助骨健康!

感谢您关注西昌王氏骨科专科医院微信平台(微信号:西昌王氏骨科医院“xcwsgkyy”)。健康咨询热线:0834-2222120。选择西昌王氏骨科医院请拨120后直接要求王氏骨科派车。 

到西昌王氏骨科医院住院不用办转诊!

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【传承】王氏正骨手法复位(六月第一周)

2023-03-08
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【传承】王氏正骨手法复位,2022年5月第二周(9-15日)

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org.springframework.web.servlet.FrameworkServlet.service(FrameworkServlet.java:846) at javax.servlet.http.HttpServlet.service(HttpServlet.java:742) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:231) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.web.filter.ApplicationContextHeaderFilter.doFilterInternal(ApplicationContextHeaderFilter.java:55) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at 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