目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响。方法:选取2021年9月至2022年9月丰城市中医院收治的髌骨下极骨折患者40例,按照随机数字表法分为对照组和试验组,每组20例。两组患者...目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响。方法:选取2021年9月至2022年9月丰城市中医院收治的髌骨下极骨折患者40例,按照随机数字表法分为对照组和试验组,每组20例。两组患者均给予切开复位内固定,对照组给予间断垂直钢丝缝合联合张力带治疗,试验组给予四黄散联合间断垂直钢丝缝合加张力带治疗。观察两组患者术后6周、3个月、6个月、1年及末次随访时膝关节疼痛评分、屈伸活动范围(range of motion, ROM)、Bostman评分、骨折愈合时间、各项临床指标及并发症发生情况。结果:试验组术后6周、3个月、6个月、1年膝关节疼痛评分均低于对照组,差异有统计学意义(P<0.05)。试验组术后6周、3个月、6个月、1年ROM、Bostman评分高于对照组,差异有统计学意义(P<0.05)。试验组术后1年骨折愈合时间、各项临床指标均优于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:四黄散联合间断垂直钢丝缝合加张力带能改善髌骨下极骨折患者膝关节功能,降低术后并发症发生率,促进骨折早日愈合。展开更多
The fracture characteristics of fully pearlitic steel wires with fine and randomly oriented lamellae have been investigated after tension and torsion, respectively. It is found that the predominant fracture mode under...The fracture characteristics of fully pearlitic steel wires with fine and randomly oriented lamellae have been investigated after tension and torsion, respectively. It is found that the predominant fracture mode under small pre- deformation is dimple. The analysis of the colony size and the lamellar structure near the fracture surface indicates that each dimple roots from one colony. A simulation of tensile deformation with several pearlitic colonies based on the real scanning electron microscopy （SEM） observation shows that the plastic deformation concentrates and the stress t^hxialit~＂ is larger ~it the boundaries bf colonies. It demonstrates the microe/＇a^ks initialize at colony boundaries. Thus, the colony size is a significant factor for fracture behaviors under small pre-deformation. On the other hand, the fracture surface is investigated after large pre-deformation via torsion. The results show that fracture characteristics vary with radius from dimples, elongated dimples to the fibrous structure. It indicates that the fracture charac-teristics are dependent on the pre-deformation. The fracture mode under large pre-deformation becomes an anisotropic fibrous structure instead of dimples.展开更多
文摘目的:观察四黄散联合间断垂直钢丝缝合加张力带对髌骨下极骨折患者膝关节活动度及骨折愈合时间的影响。方法:选取2021年9月至2022年9月丰城市中医院收治的髌骨下极骨折患者40例,按照随机数字表法分为对照组和试验组,每组20例。两组患者均给予切开复位内固定,对照组给予间断垂直钢丝缝合联合张力带治疗,试验组给予四黄散联合间断垂直钢丝缝合加张力带治疗。观察两组患者术后6周、3个月、6个月、1年及末次随访时膝关节疼痛评分、屈伸活动范围(range of motion, ROM)、Bostman评分、骨折愈合时间、各项临床指标及并发症发生情况。结果:试验组术后6周、3个月、6个月、1年膝关节疼痛评分均低于对照组,差异有统计学意义(P<0.05)。试验组术后6周、3个月、6个月、1年ROM、Bostman评分高于对照组,差异有统计学意义(P<0.05)。试验组术后1年骨折愈合时间、各项临床指标均优于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:四黄散联合间断垂直钢丝缝合加张力带能改善髌骨下极骨折患者膝关节功能,降低术后并发症发生率,促进骨折早日愈合。
基金Item Sponsored by National Natural Science Foundation of China(51034009,51404158)Doctoral Initiation Foundation of Liaoning Province of China(201601176)
文摘The fracture characteristics of fully pearlitic steel wires with fine and randomly oriented lamellae have been investigated after tension and torsion, respectively. It is found that the predominant fracture mode under small pre- deformation is dimple. The analysis of the colony size and the lamellar structure near the fracture surface indicates that each dimple roots from one colony. A simulation of tensile deformation with several pearlitic colonies based on the real scanning electron microscopy （SEM） observation shows that the plastic deformation concentrates and the stress t^hxialit~＂ is larger ~it the boundaries bf colonies. It demonstrates the microe/＇a^ks initialize at colony boundaries. Thus, the colony size is a significant factor for fracture behaviors under small pre-deformation. On the other hand, the fracture surface is investigated after large pre-deformation via torsion. The results show that fracture characteristics vary with radius from dimples, elongated dimples to the fibrous structure. It indicates that the fracture charac-teristics are dependent on the pre-deformation. The fracture mode under large pre-deformation becomes an anisotropic fibrous structure instead of dimples.
