Objective To investigate mechanism involved i n knee joint rehabilition by compreh ensive rehabilitation therapy foll owing com-minuted fracture of patella surgery.Method25patients suffered from comminute d fracture o...Objective To investigate mechanism involved i n knee joint rehabilition by compreh ensive rehabilitation therapy foll owing com-minuted fracture of patella surgery.Method25patients suffered from comminute d fracture of patella received rehabilitation training,drugs administration and physical therapy.Results Knee joint function was evaluated,e xcellent 22cases,good 2cases,favo rable 1case,good rate was 96%.Conclusion Rehabilitation of knee joint is satisfying in patients underwent compre hensive rehabilitation treatment.So,comprehensive rehabilitation treatment is valuable in clinic.展开更多
Objective To investigate the stress distribution of the femur after cemented prosthetic replacement in aged patients with comminuted intertrochanteric fracture and to analyze the difference of stress distribution betw...Objective To investigate the stress distribution of the femur after cemented prosthetic replacement in aged patients with comminuted intertrochanteric fracture and to analyze the difference of stress distribution between cemented long展开更多
Objective To investigate the operative method and evaluate the clinical outcomes of long proximal femoral nail anti-rotation (PFNA-long) in treating long-segment fracture in middle-up part of femoral bone.Methods From...Objective To investigate the operative method and evaluate the clinical outcomes of long proximal femoral nail anti-rotation (PFNA-long) in treating long-segment fracture in middle-up part of femoral bone.Methods From June 2006 to展开更多
Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric commin...Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.展开更多
目的 探讨使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折临床疗效。方法 回顾性分析2017年1月~2022年3月深圳市龙华区中心医院创伤骨科使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折患...目的 探讨使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折临床疗效。方法 回顾性分析2017年1月~2022年3月深圳市龙华区中心医院创伤骨科使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折患者25例,男性18例,女7例,年龄20~57岁,平均38.6岁,股骨8例,胫骨17例,左侧14例,右侧11例,GustiloⅢC型5例,GustiloⅢB型20例,交通事故17例,重物砸伤8例,2例合并2型糖尿病,合并软组织缺损23例,合并大动静脉缺损3例(缺损长度分别为9 cm, 5 cm, 4 cm),合并踝关节骨折5例。所有病例经清创后出现骨缺损,骨缺损长度5~23 cm,平均缺损长度10 cm,软组织缺损面积8 cm×5 cm~18 cm×10 cm。GustiloⅢC型患者根据缺损动静脉长度进行相应长度骨短缩并用组合式外固定架固定,直接闭合创面或封闭负压引流。GustiloⅢB型患者一期骨短缩3~7 cm并用组合式外固定支架固定,创面直接闭合或封闭负压引流,合并大动静脉缺损患者1.5月后安装Orthofix单边外固定架,并行股骨或胫骨截骨延长术,未合并大动静脉缺损患者术后1周左右复查白细胞计数、中性粒细胞计数、C反应蛋白及降钙素原正常后,安装Orthofix单边外固定架+股骨或胫骨截骨延长术。结果 随访12~36个月,所有患者骨及软组织缺损均愈合,未出现下肢不等长>2.5 cm、骨延长区域或骨折端再发骨折等并发症。骨性愈合时间为12~24个月,平均18.6个月;骨性愈合指数为31.7~120.2 d/cm,平均63.8 d/cm;外固定时间为12~30个月,平均20.6个月;外固定指数为32.3~117.2 d/cm,平均56.8 d/cm。Ilizarov技术研究与应用学会(Association for Study and Application of Method of Ilizarov, ASAMI)骨愈合评价:优23例,良2例;ASAMI下肢功能评价:优17例,良7例,可1例。结论 使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折可同时修复骨与软组织缺损,无须移植血管神经及皮瓣修复,降低手术难度,值得临床推广。展开更多
文摘Objective To investigate mechanism involved i n knee joint rehabilition by compreh ensive rehabilitation therapy foll owing com-minuted fracture of patella surgery.Method25patients suffered from comminute d fracture of patella received rehabilitation training,drugs administration and physical therapy.Results Knee joint function was evaluated,e xcellent 22cases,good 2cases,favo rable 1case,good rate was 96%.Conclusion Rehabilitation of knee joint is satisfying in patients underwent compre hensive rehabilitation treatment.So,comprehensive rehabilitation treatment is valuable in clinic.
文摘Objective To investigate the stress distribution of the femur after cemented prosthetic replacement in aged patients with comminuted intertrochanteric fracture and to analyze the difference of stress distribution between cemented long
文摘Objective To investigate the operative method and evaluate the clinical outcomes of long proximal femoral nail anti-rotation (PFNA-long) in treating long-segment fracture in middle-up part of femoral bone.Methods From June 2006 to
文摘Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.
文摘目的 探讨使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折临床疗效。方法 回顾性分析2017年1月~2022年3月深圳市龙华区中心医院创伤骨科使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折患者25例,男性18例,女7例,年龄20~57岁,平均38.6岁,股骨8例,胫骨17例,左侧14例,右侧11例,GustiloⅢC型5例,GustiloⅢB型20例,交通事故17例,重物砸伤8例,2例合并2型糖尿病,合并软组织缺损23例,合并大动静脉缺损3例(缺损长度分别为9 cm, 5 cm, 4 cm),合并踝关节骨折5例。所有病例经清创后出现骨缺损,骨缺损长度5~23 cm,平均缺损长度10 cm,软组织缺损面积8 cm×5 cm~18 cm×10 cm。GustiloⅢC型患者根据缺损动静脉长度进行相应长度骨短缩并用组合式外固定架固定,直接闭合创面或封闭负压引流。GustiloⅢB型患者一期骨短缩3~7 cm并用组合式外固定支架固定,创面直接闭合或封闭负压引流,合并大动静脉缺损患者1.5月后安装Orthofix单边外固定架,并行股骨或胫骨截骨延长术,未合并大动静脉缺损患者术后1周左右复查白细胞计数、中性粒细胞计数、C反应蛋白及降钙素原正常后,安装Orthofix单边外固定架+股骨或胫骨截骨延长术。结果 随访12~36个月,所有患者骨及软组织缺损均愈合,未出现下肢不等长>2.5 cm、骨延长区域或骨折端再发骨折等并发症。骨性愈合时间为12~24个月,平均18.6个月;骨性愈合指数为31.7~120.2 d/cm,平均63.8 d/cm;外固定时间为12~30个月,平均20.6个月;外固定指数为32.3~117.2 d/cm,平均56.8 d/cm。Ilizarov技术研究与应用学会(Association for Study and Application of Method of Ilizarov, ASAMI)骨愈合评价:优23例,良2例;ASAMI下肢功能评价:优17例,良7例,可1例。结论 使用Orthofix单边外固定架通过骨短缩-延长肢体治疗下肢开放性粉碎性骨折可同时修复骨与软组织缺损,无须移植血管神经及皮瓣修复,降低手术难度,值得临床推广。
