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改良线袢法Latarjet技术治疗肩关节复发性脱位的中期疗效及移植骨块塑形模式分析 被引量:8
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作者 柳海峰 陆伟 +5 位作者 许鉴 朱伟民 邓桢翰 欧阳侃 梁达强 王大平 《中国内镜杂志》 2019年第6期1-8,共8页
目的线袢法固定Latarjet手术效果好,但无中长期疗效的报道。该研究首次报道线袢法Latarjet术后中期效果。方法回顾改良线袢法Latarjet手术患者152例,术后随访观察关节活动度、视觉模拟评分(VAS)、Rowe评分、Walch-Duplay评分和美国肩肘... 目的线袢法固定Latarjet手术效果好,但无中长期疗效的报道。该研究首次报道线袢法Latarjet术后中期效果。方法回顾改良线袢法Latarjet手术患者152例,术后随访观察关节活动度、视觉模拟评分(VAS)、Rowe评分、Walch-Duplay评分和美国肩肘外科评分(ASES)。通过X片和CT扫描评估骨块位置、愈合情况及肩关节退变情况。结果术后平均随访(35.3±5.8)个月,所有患者肩关节恢复良好、骨块完全愈合,无复发。术后VAS、Rowe、ASES和Walch-Duplay评分明显改善。术后三维CT扫描En-face位显示,骨块中心平均位于约4点钟位置。146例骨块正常,2例过高,4例骨块过低。术后即刻CT横断面观察,移位骨块与关节盂相平134例,偏外16例,偏内2例。喙突移位骨块出现了不同程度的骨吸收现象,术后平均1年内达到稳定,呈"圆外吸收"现象。全部移植骨块的骨质存在向上、下延伸爬行塑形现象。术后并发症发生率仅为1.3%,全部病例未出现肩关节退变情况。结论线袢固定Latarjet中期疗效好,可有效避免关节盂退变的并发症,移植骨块随访过程中呈"圆外吸收"特点,塑形呈延伸爬行现象,最终关节盂与骨块融合塑形成正梨形关节盂。 展开更多
关键词 关节镜 LATARJET 肩关节 复发脱位 线袢
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Ex vivo cartilage explant model for the evaluation of chondrocyte-targeted exosomes
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作者 kan ouyang MEIQUAN XU +8 位作者 YUJIE LIANG XIAO XU LIMEI XU CAINING WEN ZHUAN QIN YIXIN XIE HUAWEI ZHANG LI DUAN DAPING WANG 《BIOCELL》 SCIE 2022年第6期1521-1526,共6页
There is no efficient tracking system available for the therapeutic molecules delivered to cartilage.The dense matrix covering the cartilage surface is the main biological barrier that the therapeutic molecules must o... There is no efficient tracking system available for the therapeutic molecules delivered to cartilage.The dense matrix covering the cartilage surface is the main biological barrier that the therapeutic molecules must overcome.In this study,we aimed to establish a system that can dynamically and effectively track the therapeutic molecules delivered to cartilage.To this aim,we adopted bovine and human cartilage explants as ex vivo models for chondrocyte-targeted exosome dispersion.The efficiency of drug delivery was evaluated using frozen sections.The results of this study showed that the penetration and distribution of chondrocyte-targeted exosomes in cartilage explants can be tracked dynamically.Thus,ex vivo cartilage explants provide an effective and economic system to evaluate therapeutic drugs encapsulated in chondrocyte-targeted exosomes in preclinical studies. 展开更多
关键词 Cartilage explants EXOSOMES Targeted delivery
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Comment on "Heterotopic ossification after arthroscopy for hip impingement syndrome" 被引量:1
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作者 Ming-Jin Zhong kan ouyang 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第14期1763-1764,共2页
We have read with great interest the article "Heterotopic ossification after arthroscopy for hip impingement syndrome" by Gao et al.[1] The authors showed the incidence of heterotopic ossification (HO) is an... We have read with great interest the article "Heterotopic ossification after arthroscopy for hip impingement syndrome" by Gao et al.[1] The authors showed the incidence of heterotopic ossification (HO) is an observed complication after hip arthroscopy for hip impingement syndrome which is not common (5.4%,13/242) and most HO has no or little effect on clinical symptoms.We also agree with them that oral nonsteroidal anti-inflammatory drugs (NSAIDs) are beneficial in the prevention of HO after primary hip arthroscopy.Although we agree with the conclusion similar to our previous studies in the clinic,there are some issues we like to comment on. 展开更多
关键词 HETEROTOPIC OSSIFICATION ARTHROSCOPY HIP IMPINGEMENT syndrome
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