目的比较internal brace(IB)与带线锚钉通过改良Broström术治疗慢性踝关节不稳的临床疗效。方法回顾性分析2019年5月至2022年2月在桂林市人民医院本院关节骨科行手术治疗的42例慢性踝关节外侧不稳患者资料,根据距腓前韧带修补所用...目的比较internal brace(IB)与带线锚钉通过改良Broström术治疗慢性踝关节不稳的临床疗效。方法回顾性分析2019年5月至2022年2月在桂林市人民医院本院关节骨科行手术治疗的42例慢性踝关节外侧不稳患者资料,根据距腓前韧带修补所用材料的不同将患者分为IB组(19例)和带线锚钉组(23例)。比较两组患者一般资料、手术时间、并发症发生率、术后完全负重行走时间、术后恢复跑步的时间、美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分、视觉模拟评分法(visual analog scale,VAS)评分。结果所有患者术后均获得随访,随访时间12~18个月,平均(13.8±5.3)个月。两组患者基线资料差异无统计学意义(P>0.05);两组各有1例术口拆线后再出现渗液,换药后愈合;两组各有2例术口区域感觉障碍,除IB组有1例术后半年仍未完全恢复外,其余3例术后2~3个月恢复;IB组患者术后6周随访时AOFAS评分优于带线锚钉组,差异有统计学意义(t=2.239,P=0.025),但术后6周时VAS评分比较差异无统计学意义(t=0.308,P=0.760);末次随访时AOFAS评分和VAS评分比较,两组之间差异无统计学意义(t=0.045,P=0.965;t=0.203,P=0.840);IB组术后完全负重行走时间、术后恢复跑步的时间显著早于带线锚钉组,差异有统计学意义(t=26.566,P<0.01;t=4.838,P<0.01)。结论IB与带线锚钉通过改良Broström术开放治疗慢性踝关节不稳的临床疗效满意,且使用IB在早期康复和重返运动方面优于带线锚钉。展开更多
Composite columns of steel and concrete have been used and studied world wide, but filled tubular columns need more attention. This paper presents an experimental study on the behavior of short concrete filled steel t...Composite columns of steel and concrete have been used and studied world wide, but filled tubular columns need more attention. This paper presents an experimental study on the behavior of short concrete filled steel tubular columns （CFT） axially loaded in compression to failure. A total of 28 specimens （16 were filled with concrete and 12 were kept hollow） with different cross-sections were tested to investigate the load capacity. The length-to-diameter ratios of these columns were between 4 and 9. Parameters for the tests were tube shape and diameter-to-thickness ratio. Some of the concrete filled columns had internal bracing of #3 deformed bars. The test results are compared with the theoretical results and previous studies. The results show that the confinement effect on concrete does play a role in increasing the compressive strengths to almost 60% in some cases. Based on the test results, an equation to estimate the ultimate axial compressive loading capacities is also proposed for square CFT columns.展开更多
文摘目的比较internal brace(IB)与带线锚钉通过改良Broström术治疗慢性踝关节不稳的临床疗效。方法回顾性分析2019年5月至2022年2月在桂林市人民医院本院关节骨科行手术治疗的42例慢性踝关节外侧不稳患者资料,根据距腓前韧带修补所用材料的不同将患者分为IB组(19例)和带线锚钉组(23例)。比较两组患者一般资料、手术时间、并发症发生率、术后完全负重行走时间、术后恢复跑步的时间、美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足功能评分、视觉模拟评分法(visual analog scale,VAS)评分。结果所有患者术后均获得随访,随访时间12~18个月,平均(13.8±5.3)个月。两组患者基线资料差异无统计学意义(P>0.05);两组各有1例术口拆线后再出现渗液,换药后愈合;两组各有2例术口区域感觉障碍,除IB组有1例术后半年仍未完全恢复外,其余3例术后2~3个月恢复;IB组患者术后6周随访时AOFAS评分优于带线锚钉组,差异有统计学意义(t=2.239,P=0.025),但术后6周时VAS评分比较差异无统计学意义(t=0.308,P=0.760);末次随访时AOFAS评分和VAS评分比较,两组之间差异无统计学意义(t=0.045,P=0.965;t=0.203,P=0.840);IB组术后完全负重行走时间、术后恢复跑步的时间显著早于带线锚钉组,差异有统计学意义(t=26.566,P<0.01;t=4.838,P<0.01)。结论IB与带线锚钉通过改良Broström术开放治疗慢性踝关节不稳的临床疗效满意,且使用IB在早期康复和重返运动方面优于带线锚钉。
文摘Composite columns of steel and concrete have been used and studied world wide, but filled tubular columns need more attention. This paper presents an experimental study on the behavior of short concrete filled steel tubular columns （CFT） axially loaded in compression to failure. A total of 28 specimens （16 were filled with concrete and 12 were kept hollow） with different cross-sections were tested to investigate the load capacity. The length-to-diameter ratios of these columns were between 4 and 9. Parameters for the tests were tube shape and diameter-to-thickness ratio. Some of the concrete filled columns had internal bracing of #3 deformed bars. The test results are compared with the theoretical results and previous studies. The results show that the confinement effect on concrete does play a role in increasing the compressive strengths to almost 60% in some cases. Based on the test results, an equation to estimate the ultimate axial compressive loading capacities is also proposed for square CFT columns.
