摘要
本文总结了427例股四头肌瘫的治疗,从生物力学角度阐述了三种术式的选择方法。从随访中发现三种术式在稳定膝关节差异不大,而在膝关节功能恢复中,股骨髁上截骨术差异明显,因为截骨面靠近关节易形成粘连;二是固定时间较长不利于早期功能锻炼。对三种不同术式的并发症分析了产生的原因和预防措施。
Abstract
427 patients with paralysis of quadri-ceps were referred for treatment.the choice of three
different operative methodswere presented basing on biomechanics.Af-ter following up,there
was little differencein three operative methods for stabilizingthe knee joint,but there was
significant dif-ference in the function of knee joint aftersupracondylar osteotomy.Its reasons
were:(1)easy to form coherence because csteoto-my was too close to
articulation:(2)disad-vantage to early functional exercise because the fixative time was too
long.The reasonof complication from three different opera-tive methods have been studied and
preven-tive measures have been advanced.It is em-phasized for design as a whole and
followedstep by step restoration.
出处
《中国矫形外科杂志》
CAS
CSCD
1994年第2期75-78,共4页
Orthopedic Journal of China