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股四头肌瘫治疗中的几个问题(附427例报告) 被引量:1

A Few Poblems in the Treatment of Quadri-ceps Paralysis-An Analysis of 427 Cases
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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.
作者 谷诚
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
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  • 1鲁玉来,张辉,杨凯,张喜善.伸膝动力重建[J].中国矫形外科杂志,1996,3(4):299-300. 被引量:1
  • 2缪鸿石主编.康复理论与实践[M].第1版,上海:上海科技出版社.2000.295.

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