掌侧可调式锁定加压钢板治疗桡骨远端骨折

目的:探讨桡骨远端掌侧可调式锁定加压钢板(ALCP)治疗桡骨远端骨折的临床治疗效果。方法:根据AO分型,对我科16例桡骨远端骨折行掌侧ALCP钢板内固定手术治疗,根据Dienst标准进行腕关节功能评估。结果:本组所有病例都得到4～9个月随访,平均5.9个月,所有骨折均骨性愈合,愈合时间为9～14周,平均11.8周。术后Dienst功能评估:优11例,良4例,可1例。结论:应用桡骨远端掌侧ALCP治疗桡骨远端骨折,可取得满意的治疗效果。

桡骨远端粉碎性骨折的微创穿针外固定治疗

目的探讨闭合复位外固定或有限切开复位外固定治疗桡骨远端粉碎性骨折的疗效。方法对89例桡骨远端粉碎性骨折患者采用闭合复位外固定或有限切开复位外固定治疗,结合微创穿针外固定架固定骨折。结果 89例患者随访86例,失访3例,随访率为96.6%。随访时间5～48个月,平均26个月。骨折全部1期愈合。按照Dienst功能评分标准:优75例,良8例,一般3例,优良率为96.5%。X线片评估:桡骨短缩<10 mm,关节塌陷<2 mm,尺偏角12°～15°,掌倾角6°～15°。无针孔骨折,医源性神经、血管损伤,针道感染及骨髓炎等并发症发生。结论应用外固定支架固定是治疗桡骨远端粉碎性骨折的有效方法,能较好地防止骨折再移位、畸形愈合和保护腕关节功能。

保守与手术治疗老年C3型桡骨远端骨折的效果

目的对比观察保守与手术治疗老年C3型桡骨远端骨折的效果。方法从本院2017年7月—2019年7月收治的老年C3型桡骨远端骨折患者中选取92例作为研究对象,按随机均衡原则分为两组各46例,对照组采取保守治疗,观察组采取手术治疗,对比两组患者治疗效果。结果观察组Lidstrom复位优良率较对照组明显高(χ~2=4.842,P <0.05);观察组Dienst功能优良率虽高于对照组,但差异不大(χ~2=3.024,P> 0.05)。结论手术治疗老年C3型桡骨远端骨折的复位效果显著优于保守治疗,但术后腕关节功能恢复相当,因此,对于手术耐受力差、有禁忌证、不要求美观等无法进行手术的患者也可选取保守治疗。

Reflections on the Historical Context and Political Philosophical Implications of Mao Zedong's Talks at the Yan’an Forum on Literature and Art

Setting to the task of a logical exposition of this article from Mao's Talks with regards to both historical context and philosophical content, a re-reading explores the "living historical document" as a theoretical possibility. The author indicates that the literary-artistic hypothesis of Talks consists in the political and military logic of "the revolutionary machine," offering a politically autonomous character to artistic formulation while simultaneously drawing up a mechanics for the general relati on ship between the recon struction of art and social relations in the country's future. Successively, in an attempt to engage with an elucidation of Mao's notion of "universal enlightenment" in the contemporary context, is an analytical emphasis on the implications of the material of Talks which embodies its cultural-political framework. This indicates that the revoluti on ary machine imposes a double function on the cultural-artistic worker as somebody who undertakes the responsibilities of both teacher and servant;who occupies the position of a "vanishing mediator" in the process of universal historical movement;and whose van guard characteristics and ultimate existence possess no independent value but instead depend on and draw from their relationship with the historical totality. The author holds that this perspective supports the advancement of our cognizance with regards to the civilizing functionality and ethical constructiveness of the Chinese Revolution in world-historical context.