手术室护士使用Telos装置评估膝关节稳定性的方法与配合
被引量：1
摘要
目的通过使用Telos装置拍摄膝关节应力像，分析和总结手术室护士在手术时使用Telos装置的配合。方法诊断为后交叉韧带损伤或多发韧带损伤并接受手术治疗的38例患者，麻醉下使用Telos装置拍摄膝关节应力像并进行测量，进行统计学分析和护理配合总结。结果麻醉下采用Telos装置拍摄膝关节应力像胫骨后移平均为（14．32±7．94）mm。在拍摄过程中，护士需要辅助进行体位转换、放射线防护、麻醉配合和心理护理，配合医生和麻醉师共同完成膝关节应力像的拍摄。结论Telos装置拍摄膝关节应力像的测量数据准确，能够用于术前膝关节后向不稳定的评估。在拍摄过程中，护士需要对患者进行严密观察和保护。
出处
《中华现代护理杂志》
2011年第20期2433-2435,共3页
Chinese Journal of Modern Nursing
参考文献12
-
1Schulz M, Russe K, Lampakis G, et al. Reliability of stress radiography for evaluation of posterior knee laxity. Am J Sports Med,2005,33 (4) :502-506.
-
2Jacobsen K. Stress radiographical measurement of the anteropo- sterior, medial and lateral stability of the knee joint. Aeta Orthop Scand, 1976,47 : 335-344.
-
3Staubli H, Jakob R. Posterior instability of the knee near extension: a clinical and stress radiographic analysis of acute injuries of the posterior cruciate ligament. J Bone Joint Surg Br, 1990,72:225-230.
-
4Staubli H, Noesberger B, Jakob R. Stressradiography of the knee : eruciate ligament function studied in 138 patients. Acta Orthop Scand, 1992,249 : 1-27.
-
5Paxton EW, Fittiian DC, Stone ML, et al. The reliability and validity of knee-specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Meal, 2003,31 (4) :487-492.
-
6Feltham G, Albright J. The diagnosis of PCL injury: literature review and introduction of two novel tests. Iowa Orthop J,2001, 21:36-42.
-
7Yoo JH, Yi SR, Huh JK. A case of delayed recurrent hemarthrusis after posterolateral reconstruction of the knee with a staple frxation at the lateral femoral epicondyle. Arch Orthop Trauma Surg,2008.
-
8Allen C, Kaplan L, Fluhme D, et al. Posterior cruciate ligament injuries. Curr Opin Rheumato1,2002,14 (2) : 142-149.
-
9Cooper DE, Stewart D. Posterior cruciate ligament reconstruction using single-bundle patella tendon graft with tibial inlay frxation: 2- to lO-year follow-up. Am J Sports Med ,2004,32:346-360.
-
10Bicos J, Areiero RA. Novel approach for reconstruction of the posterolateral corner using a free tendon graft technique. Sports Med Arthrosc,2006,14 ( 1 ) :28-36.
同被引文献13
-
1冯华,洪雷,王雪松,耿向苏,张辉.计算机导航技术辅助后交叉韧带重建中胫骨隧道定位[J].中国运动医学杂志,2007,26(4):432-437. 被引量：8
-
2Berg EE. Posterior cruciate ligament tibial inlay reconstruction. Arthroscopy, 1995,11 ( 1 ) :69-76.
-
3Noyes FR, Medvecky MJ, Bhargava M. Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction:An analysis of techniques and a safe operative approach to the popliteal fossa. Arthroscopy, 2003,19 ( 8 ) : 894- 905.
-
4Wind WM, Bergfeld JA, Parker RD. Evaluation and treatment of posterior cruciate ligament injuries:revisited. Am J Sports Med, 2004,32(7) :1765-1775.
-
5Weimann A, Wolfert A, Zantop T, et al. Reducing the " killer turn" in posterior cruciate ligament reconstruction by fixation level and smoothing the tibial aperture. Arthroscopy, 2007,23 ( 10 ) : 1104-1111.
-
6McAllister DR, Hussain SM. Tibial inlay posterior cruciate ligament reconstruction:surgical technique and results. Sports Med Arthrosc ,2010,18 (4) :249-253.
-
7Cooper DE, Stewart D. Posterior cruciate ligament reconstruction using single-bundle patella tendon graft with tibial inlay fixation : 2- to 10-year follow-up. Am J Sports Med,2004,32(2) :346-360.
-
8Seon JK, Song EK. Reconstruction of isolated posterior cruciate ligament injuries : a clinical comparison of the transtibial and tibial inlay techniques. Arthroscopy,2006,22( 1 ) :27-32.
-
9MacGillivray JD, Stein BE, Park M, et al. Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction:minimum 2-year follow-up. Arthroscopy, 2006,22 ( 3 ) :320-328.
-
10Panchal HB, Sekiya JK. Open tibial inlay versus arthroscopic transtibial posterior cruciate ligament reconstructions. Arthroscopy, 2011 ,27(9) :1289-1295.
二级引证文献4
-
1朱敏,徐永清,丁晶,邬江,陆声,朱跃良,王毅.漂浮体位下手术治疗三踝骨折[J].实用骨科杂志,2014,20(1):86-87. 被引量：14
-
2孙瑞颖.漂浮体位在复杂胫骨平台骨折内固定手术中的应用[J].天津护理,2014,22(2):141-142. 被引量：5
-
3肖展豪,李坚,潘玲,王文钧,高晓乐.胫骨inlay技术重建后交叉韧带[J].中外医疗,2014,33(36):44-45.
-
4汤瑞新,唐淼.“翻转”体位下联合入路手术在不稳定型三踝骨折中的应用[J].上海医学,2016,39(11):687-688.
-
1邵建康,李强一,王以进.后交叉韧带损伤的生物力学机制与功能重建[J].医用生物力学,1999,14(4):249-251. 被引量：2
-
2程月起.关节镜下膝后交叉韧带重建术患者的康复护理[J].中医正骨,2009,21(10):74-75.
-
3王钟敏.青少年自杀行为的因素分析和护理[J].护理与康复,2004,3(1):13-14.
-
4丽平.被十几个医生“伺候”的感觉[J].大众健康,2013(1):104-105.
-
5黄芳.21例服毒自杀患者的心理分析和护理体会[J].青海医药杂志,2000,30(8):12-12. 被引量：2
-
6魏桂萍.脑卒中病人的心理分析和护理[J].山西大同大学学报（自然科学版）,2011,27(2):45-47.
-
7向晔.出院患者心理分析和护理[J].中华临床医药杂志（北京）,2003,4(23):126-126.
-
8杜彩霞,博志刚.术前及术中医护患心理状况及沟通[J].中国社区医师（医学专业）,2007,9(7):101-101.
-
9赵峰.乳腺癌患者心理分析和护理干预研究[J].中华全科医学,2013,11(8):1262-1263. 被引量：7
-
10韩香菊.60例手术患者的心理问题分析和护理探讨[J].中国现代药物应用,2010,4(3):207-208.
