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1、传统正骨手法在四肢骨折现代治疗中的应用applicationoftraditionalmaniputiveosteopathinmordentreatmentoflimbsfractures 传统正骨手法唐代蔺道人仙授理伤秘方第一部骨伤科专著，总结了理伤正骨的基本原则与方法清代吴谦医宗金鉴正骨心法要旨“摸、接、端、提、按、摩、推、拿”正骨八法尚天裕中西医结合治疗骨折新正骨八法石氏伤科理伤手法：拔伸捺正，拽捏端提，按揉摇转中西医结合治疗骨折ThedevelopmentoftheconservativewayoftreatmentestablishedbyProfessorShang20世纪60-
2、80年代发展到了顶峰peakfrom60sto80sinthelastcentury中西医结合治疗四肢骨折尚天裕ProfessorShangTianyusideaoftreatmentforlimbfractures(thecon-servativetreatment).主要内容maincontent手法复位技术正骨八法Skillsofmanipulativereduction小夹板固定splint-fixation核心思想Thekernelofhisidea动静结合harmoniouscombinationofdynamicsandstatics;筋骨并重equalemphasisonbon
3、esandsofttissue;内外兼治balancedinternalandexternaltreatment医患合作bettercooperationbetweendoctorsandpatientsdistalclavicalfrproximalhumerusfrhumerusshaftfrDistalhumerusfrRadiusandulnarfrDiatalraduisfr桡骨远端骨折治疗后MetacarpalfrProximaltibiafrTibiashaftfrAnklefrconservativewayoftreatmentAdvantagessmallerinjuryle
4、sscostDisadvantagesCannotearlyfunctionalexerciseSomecasesredisplacefailure目前呈现大幅度的滑坡萎缩presentdecliningtendency怎么办Anintroductionofthepresentwayofthinkingintreatingfractures：scientificdevelopmentofthelatesttreatmentcombinationoftraditionalandmorderntreatment中西骨科结合点微创中医骨科提倡有限手术论尚天裕1987西医骨科AOBO(保护血供、微创、
5、MIPPO、MIS)解剖复位vs功能复位坚强固定vs有效固定直接复位vs间接复位生物力学vs生物学董福慧.微创骨伤科技术的制高点.中国骨伤,2006,19(1)122.手法闭合复位+微创固定closelymanipulativereductioncombinedwithminimallyinvasivepercutaneousfixationThespecificmethodsofMinimalInvasiveTreatmentpercutaneouspinfixationexternalfixatorpercutaneousEseinfixationpercutaneousintramedu
6、llarynailfixationpercutaneousplatefixationpercutaneouscanulatedscrewpercutaneouspinfixationforproximalhumerusfrpercutaneousplatefixationforproximalhumerusfrpercutaneousintramedullarynailfixationforhumerusshaftfrpercutaneouspinfixationfordistalhumerusfrpercutaneousEseinfixationforforarmfrpercutaneous
7、pinfixationfordistalradiusfrexternalfixatorfordistalradiusfrpercutaneouspinfixationformetacarpalfrpercutaneouspinfixationformetacarpalfrpercutaneouscanulatedscrewforfemoralneckfrpercutaneousintramedullarynailfixationforhipfrpercutaneousintramedullarynailfixationforsubtrochantericfrpercutaneousplatef
8、ixationforfemoralshaftfrpercutaneousplatefixationfortibiashaftfrpercutaneousplatefixationfortibiashaftfrpercutaneousplatefixationfortibiashaftfrpercutaneouscanulatedscrewfortalarfrpercutaneouspinfixationforcalceunousfrTheadvantagesofthelatestwayoffracturetreatmentcomparingwithmanualrepositioningande
9、xternalfixingfirmerfixingandallowedearlierfunctionalexersicecomparingwithregularopenreductionandinternalfixation:simplifyingoperationprocessandlessoperationtimesmallerinjuryandlessbleedinglessditurbanceonblood-supplyandlowerrateofdisconnectionandosteonecrosissmallerincision;lessscarandmoreperfectski
10、nThismethodisacombinationofChineseandWesternmeritsandfullyembodiestheadvantagesofintegrativemedicine.ItisanewpattenoftreatmentonbonefracturewiththeintegrationoftraditionalChinesemedicineandWesternmedicine.Itisalsoconsistentwiththegeneraltrendofminimallyinvasivetreatmentinthefieldoforthopedicsandsurgery我的电话13917786359
