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人工全髋关节置换治疗股骨近端骨肿瘤:疗效及安全性分析 被引量:15
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作者 周政 刘傥 《中国组织工程研究》 CAS CSCD 2014年第26期4115-4119,共5页
背景:随着医疗水平的提高,肢体恶性肿瘤保肢手术的价值日益提高,目前已替代截肢,成为当今肢体肿瘤外科治疗的主流与发展方向。但目前为止,对股骨近端肿瘤还没有统一的手术适应证,仍存在争议。目的:观察人工全髋关节置换联合瘤段扩大切... 背景:随着医疗水平的提高,肢体恶性肿瘤保肢手术的价值日益提高,目前已替代截肢,成为当今肢体肿瘤外科治疗的主流与发展方向。但目前为止,对股骨近端肿瘤还没有统一的手术适应证,仍存在争议。目的:观察人工全髋关节置换联合瘤段扩大切除治疗股骨近端骨肿瘤的效果。方法:选取中南大学湘雅二医院收治的股骨近端骨肿瘤患者并随机分为对照组和观察组,每组30例。对照组患者根据病情选择病灶刮除,瘤体壁灭活,自体和(或)异体骨、人工骨混合植骨后行植入物内固定治疗。观察组患者接受瘤段扩大切除加人工全髋关节置换治疗。比较两组患者手术时间、术中术后出血量、住院时间及关节功能情况。2年后对患者进行回访,比较两组患者的转移复发率、死亡率以及生活质量。结果与结论:两组患者手术时间及术中出血量间无显著性差异(P>0.05),但观察组患者住院时间短于对照组,关节功能恢复优良率(83%)高于对照组(53%),术后2年内转移复发率(7%)和死亡率(3%)均低于对照组(30%,23%)。观察组患者生活质量各项指标均优于对照组,差异有显著性意义(P<0.05)。提示人工全髋关节置换治疗股骨近端骨肿瘤安全有效。 展开更多
关键词 植入 人工假体 节植入物 人工全髋关置换 股骨近端 骨肿瘤 肿瘤转移
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脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用 被引量:17
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作者 陈涛 黎观保 +1 位作者 梁科友 贾世青 《中国组织工程研究》 CAS CSCD 2013年第13期2423-2430,共8页
背景:相关临床研究显示,脊柱相关退行性疾病患者的脊柱-骨盆矢状面平衡参数均有不同程度的特征性变化。目的:探讨脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用。方法:分析脊柱-骨盆矢状面平衡的测量参数与测量方法及在成人脊柱疾病... 背景:相关临床研究显示,脊柱相关退行性疾病患者的脊柱-骨盆矢状面平衡参数均有不同程度的特征性变化。目的:探讨脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用。方法:分析脊柱-骨盆矢状面平衡的测量参数与测量方法及在成人脊柱疾病诊治中的量化及重要参数,以及各参数与生存质量之间的关系,评价脊柱疾病矫治后效果及脊柱-骨盆矢状面平衡在脊柱疾病治疗中的作用。结果与结论:脊柱矢状面形态与骨盆参数密切相关,脊柱矢状面曲线分型也采用骨盆参数,骨盆矢状面参数与脊柱矢状面参数存在明显的统计学的相关性,脊柱-骨盆矢状面平衡参数是评价脊柱疾病及治疗预后的重要指标,评价脊柱-骨盆矢状面平衡变化时应包括对骨盆和脊柱形态等参数的研究。 展开更多
关键词 骨关节植入物 骨关节植入物学术探讨 脊柱植入 脊柱骨盆矢状面参数 矢状面平衡 腰椎间盘退变 腰椎滑脱 腰椎畸形 脊柱畸形 退行性腰椎侧凸 骨盆入射角 骶骨倾斜角 腰椎前凸角 骨关 节植入物图片文章
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A Novel Engineering Spherical Bearing, with Potential Application for a Hip Implant
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作者 Virgil Florescu Lucian Capitanu +1 位作者 Liliana-Laura Badita Viviana Filip 《Journal of Mechanics Engineering and Automation》 2016年第5期217-226,共10页
It is a research which could enter into contradiction with the current trend concerning the hip implants. It is known as sliding friction, which is characteristic of present artificial hip joints, is higher than in th... It is a research which could enter into contradiction with the current trend concerning the hip implants. It is known as sliding friction, which is characteristic of present artificial hip joints, is higher than in the case of rolling friction. The paper reports the studies of the functioning mode of a novel spherical bearing MoM (metal on metal) with rolling friction, with potential application for an artificial hip joint obtained by introducing a number of balls between the femoral head and the acetabular cup. After over 15 years of research upon the functional principle and constructive solution, a version that offered a coefficient of minimum friction in the hip joint came to light. This version was based on a constructive solution of motion with lower friction, "Omnitrack~ movement solutions", which has been modified and rebuilt to be used as a joint of a total hip prosthesis--MOMJ. The joint was built entirely in stainless steel, SS316L medical grade. Tests have been carried out on the experimental laboratory devices that showed very low values of the coefficient of friction (μ = 0.0225). For validation, the prosthesis had to be put through tests for 500,000 cycles, in terms of physiological motion and dynamic loading, according to ISO 14242-3. Testing was conducted on a multiaxial dynamics machine, MTS Bionix, equipped with system for hip implant testing. The testing results of this total hip prosthesis with rolling friction have been successful in signing up for a friction moment of 0.525 kNmm which means a coefficient of friction la = 0.0143, for a joint with femoral head diameter 28 mm. 展开更多
关键词 Spherical joint total hip prosthesis rolling friction BALLS femoral head surface wear Omnitrack movement solutions laboratory testing.
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