Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabul...Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabular fractures展开更多
Objective:To analyze and explore the clinical value of arthroscopy in traumatic sports ankle arthritis.Methods:The study period was from June 2016 to June 2020.A selected sample of 25 patients with traumatic sports an...Objective:To analyze and explore the clinical value of arthroscopy in traumatic sports ankle arthritis.Methods:The study period was from June 2016 to June 2020.A selected sample of 25 patients with traumatic sports ankle arthritis in Qingyang People's Hospital were treated.All patients underwent arthroscopy and the specific treatment effects were analyzed.Results:Comparing the preoperative and postoperative ankle-hindfoot scores,the distance of talus advancement,modified Mcguire's ankle scoring system,and visual analog scale(VAS)pain scores,the postoperative results were significantly better than those of the preoperative(P<0.05).Conclusion:Arthroscopy in traumatic sports ankle arthritis has a significant effect,with minor trauma and rapid postoperative recovery which improves various discomfort symptoms.It is worthy of promotion and application.展开更多
Background The Bennett fracture is either a common or a challenging problem to hand surgeons.It is still debated whether closed or open reduction gives optimal results.This study aimed to describe and assess a closed ...Background The Bennett fracture is either a common or a challenging problem to hand surgeons.It is still debated whether closed or open reduction gives optimal results.This study aimed to describe and assess a closed reduction and mini-external fixator fixation technique for the treatment of Bennett＇s fracture dislocation and to compare this technique versus open reduction and internal fixation.Methods From October 2002 to December 2012,56 patients with Bennett＇s fracture dislocation were treated by closed reduction and mini-external fixator fixation and 32 patients were treated by open reduction and internal fixation in Jishuitan Hospital.Patients with an articular step-off of more than 1 mm were excluded.All patients were assessed at a mean followup of 7 years （range 2-10 years） and the two groups were compared with pain levels,active range of trapeziometacarpal motion,grip strength and pinch strength,arthritic changes,and adduction deformity.Results Based on primary closed reduction maintained,the rate of anatomic reduction is 63.6％.Radiographic fracture union was achieved in all patients at a mean time of 5 weeks.At the final follow-up,there was no difference between the two groups in mean union time and pain levels （P=-0.2）.There was also no difference between the two groups regarding the active range of trapeziometacarpal motion （P=0.3）,grip stength （P=0.6）,pinch strength （P=0.2）,arthritic change and loss of reduction （P=0.2）.There was a significant correlation between adduction deformity and the development of arthritis （P=0.02）.Conclusion Closed reduction mini-external fixator fixation should be first tried to apply in the treatment of Bennett＇s fracture dislocation,and open reduction internal fixation should only be performed for irreducible fractures.展开更多
文摘Objective To explore the relevant risk factors of tramatic arthritis resulting from the surgery of acetabular fractures. Methods From January 2000 to January 2009,88 patients aged from 20 to 60 years old with acetabular fractures
文摘Objective:To analyze and explore the clinical value of arthroscopy in traumatic sports ankle arthritis.Methods:The study period was from June 2016 to June 2020.A selected sample of 25 patients with traumatic sports ankle arthritis in Qingyang People's Hospital were treated.All patients underwent arthroscopy and the specific treatment effects were analyzed.Results:Comparing the preoperative and postoperative ankle-hindfoot scores,the distance of talus advancement,modified Mcguire's ankle scoring system,and visual analog scale(VAS)pain scores,the postoperative results were significantly better than those of the preoperative(P<0.05).Conclusion:Arthroscopy in traumatic sports ankle arthritis has a significant effect,with minor trauma and rapid postoperative recovery which improves various discomfort symptoms.It is worthy of promotion and application.
文摘Background The Bennett fracture is either a common or a challenging problem to hand surgeons.It is still debated whether closed or open reduction gives optimal results.This study aimed to describe and assess a closed reduction and mini-external fixator fixation technique for the treatment of Bennett＇s fracture dislocation and to compare this technique versus open reduction and internal fixation.Methods From October 2002 to December 2012,56 patients with Bennett＇s fracture dislocation were treated by closed reduction and mini-external fixator fixation and 32 patients were treated by open reduction and internal fixation in Jishuitan Hospital.Patients with an articular step-off of more than 1 mm were excluded.All patients were assessed at a mean followup of 7 years （range 2-10 years） and the two groups were compared with pain levels,active range of trapeziometacarpal motion,grip strength and pinch strength,arthritic changes,and adduction deformity.Results Based on primary closed reduction maintained,the rate of anatomic reduction is 63.6％.Radiographic fracture union was achieved in all patients at a mean time of 5 weeks.At the final follow-up,there was no difference between the two groups in mean union time and pain levels （P=-0.2）.There was also no difference between the two groups regarding the active range of trapeziometacarpal motion （P=0.3）,grip stength （P=0.6）,pinch strength （P=0.2）,arthritic change and loss of reduction （P=0.2）.There was a significant correlation between adduction deformity and the development of arthritis （P=0.02）.Conclusion Closed reduction mini-external fixator fixation should be first tried to apply in the treatment of Bennett＇s fracture dislocation,and open reduction internal fixation should only be performed for irreducible fractures.
