新型可调式布朗氏架在踝关节骨折治疗中的应用-中华老年骨科与康复电子杂志

文章信息/Info

Title:: Application of a new adjustable Brownian frame in the treatment of ankle fractures

Author(s):: Zhang Meimei; Wang Li.; Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

摘要:: 目的探讨新型可调式布朗氏架在踝关节骨折患者跟骨结节牵引中的临床应用。方法前瞻性收集上海交通大学医学院附属仁济医院踝关节骨折行跟骨牵引的患者59例，年龄35～63岁，男性33例，女性26例。根据患者入院的顺序随机分为两组，试验组29例，使用新型可调式布朗氏架，对照组30例，使用传统型布朗氏架，对两组患者的患肢肿胀程度改善、组织修复速度、会阴皮肤损伤情况及疼痛分值进行比较评价。结果所有患者均获得随访，随访时间分为使用支架后24 h、48 h、15 d天。试验组患者治疗后48 h肢体周径差[（1.73±0.48）cm]、肌酸激酶[（295.64±52.67）U/L]、疼痛视觉模拟评分[VAS，（5.61±0.95）分]和使用牵引架后会阴皮肤破损率（2%）均小于对照组[分别为：（3.49±0.35）cm，（320.45±83.54）U/L，（7.57±1.17）分，21.4%]，差异均具有统计学意义（t=0.032，t=0.038，t=0.016，0.027，均P＜0.05）。结论新型可调式布朗氏架可精确观察牵引效果，减轻肢体肿胀，具有促进组织修复，减少会阴皮肤损伤，减轻骨折疼痛，节约库存空间等优点，值得临床推广应用。

Abstract:: Objective To investigate the clinical application of a new adjustable Brownian frame in the traction of calcaneal nodule in patients with ankle fractures. Methods Fifty-nine patients with ankle fracture undergoing calcaneal traction were randomly divided into two groups. The experimental group was treated with the new adjustable Braun frame, while the control group was treated with the traditional Braun frame. The degree of affected limb swelling, tissue repair speed, perineal skin injury and pain score of the two groups were evaluated. Results At 48h after treatment, the peripheral diameter difference of the experimental group was [(1.73±0.48) cm], creatine kinase was (295.64±52.67) U/L, VAS pain visual simulation score was 5.61±0.95, and perineal skin damage rate was 2% after using traction frame.In the control group, the values were (3.49±0.35) cm, (320.45±83.54) U/L, 7.57±1.17 and 21.4%, respectively, the P values are 0.032, 0.038, 0.016, 0.027 respectively, with statistically significant differences (P<0.05). Conclusion The new adjustable Braun frame can accurately observe the traction effect, reduce limb swelling, promote tissue repair, reduce perineal skin injury, reduce fracture pain, save storage space and other advantages, and is worthy of clinical application.