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Experimental study on the irreversible displacement evolution and energy dissipation characteristics of disturbance instability of regular joints 被引量:2
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作者 Jianan Yang Pengxian Fan +2 位作者 Mingyang Wang Jie Li Lu Dong 《Deep Underground Science and Engineering》 2023年第1期20-36,共17页
To investigate the disturbance-induced shear instability mechanism of structural catastrophe in the deep rock mass,MTS 815 material testing machine was used to carry out quasi-static loading tests and disturbance shea... To investigate the disturbance-induced shear instability mechanism of structural catastrophe in the deep rock mass,MTS 815 material testing machine was used to carry out quasi-static loading tests and disturbance shear tests on symmetrical regular dentate joints of two materials at three undulation angles under specific initial static stress,disturbance frequency,and peak value.The test results indicate that:(i)the total ultimate instability displacement is only related to the intrinsic properties of the joints but not to the initial static stress and disturbance parameters;(ii)the cumulative irreversible displacement required for the disturbance instability conforms to the logistic inverse function relationship with the number of disturbances,displaying the variation trend of“rapid increase in the front,stable in the middle,and sudden increase in the rear”;(iii)the accumulation of plastic deformation energy is consistent with the evolution law of irreversible displacement of joints and the overall proportion of hysteretic energy is not large;(iv)the dissipated energy required for the instability of each group of joints is basically the same under various disturbance conditions,and this energy is mainly controlled by the initial shear stress and has no connection with the disturbance parameters.The stability of the total disturbance deformation and the disturbance energy law of the joints revealed in the tests provide data support for reasonably determining the disturbance instability criterion of joints. 展开更多
关键词 coupled static-dynamic loading instability energy irreversible displacement jointS stability
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Bunch-length measurement at a bunch-by-bunch rate based on time–frequency-domain joint analysis techniques and its application
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作者 Hong-Shuang Wang Xing Yang +2 位作者 Yong-Bin Leng Yi-Mei Zhou Ji-Gang Wang 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第4期165-175,共11页
This paper presents a new technique for measuring the bunch length of a high-energy electron beam at a bunch-by-bunch rate in storage rings.This technique uses the time–frequency-domain joint analysis of the bunch si... This paper presents a new technique for measuring the bunch length of a high-energy electron beam at a bunch-by-bunch rate in storage rings.This technique uses the time–frequency-domain joint analysis of the bunch signal to obtain bunch-by-bunch and turn-by-turn longitudinal parameters,such as bunch length and synchronous phase.The bunch signal is obtained using a button electrode with a bandwidth of several gigahertz.The data acquisition device was a high-speed digital oscilloscope with a sampling rate of more than 10 GS/s,and the single-shot sampling data buffer covered thousands of turns.The bunch-length and synchronous phase information were extracted via offline calculations using Python scripts.The calibration coefficient of the system was determined using a commercial streak camera.Moreover,this technique was tested on two different storage rings and successfully captured various longitudinal transient processes during the harmonic cavity debugging process at the Shanghai Synchrotron Radiation Facility(SSRF),and longitudinal instabilities were observed during the single-bunch accumulation process at Hefei Light Source(HLS).For Gaussian-distribution bunches,the uncertainty of the bunch phase obtained using this technique was better than 0.2 ps,and the bunch-length uncertainty was better than 1 ps.The dynamic range exceeded 10 ms.This technology is a powerful and versatile beam diagnostic tool that can be conveniently deployed in high-energy electron storage rings. 展开更多
关键词 Bunch-by-bunch diagnostic Bunch-length measurement Synchronous phase measurement joint time–frequency-domain analysis Longitudinal instability
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Atlantoaxial joint fusion using anterior transarticular screw fixation and bone grafting for atlantoaxial joint instability
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作者 王文军 《外科研究与新技术》 2011年第2期85-85,共1页
Objective To evaluate the clinical application of atlantoaxial joint fusion using anterior transarticular screw fixation and bone grafting for atlantoaxial joint instability. Methods Twenty-three cases of atlantoaxial... Objective To evaluate the clinical application of atlantoaxial joint fusion using anterior transarticular screw fixation and bone grafting for atlantoaxial joint instability. Methods Twenty-three cases of atlantoaxial joint instability were 展开更多
关键词 BONE Atlantoaxial joint fusion using anterior transarticular screw fixation and bone grafting for atlantoaxial joint instability
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不同类型贴布对慢性踝关节不稳患者行走时踝关节运动学的影响
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作者 柳青 马刚 +3 位作者 曹建玲 张宇 熊优 何瑞波 《中国组织工程研究》 CAS 北大核心 2025年第14期2989-2994,共6页
背景:慢性踝关节不稳患者行走时倾向于过度足内翻,这将增加步行周期支撑相踝关节扭伤的风险。临床医生常使用肌内效贴布或运动贴布进行踝关节贴扎。由于肌内效贴布具有弹性,而运动贴布无法拉伸,因此两者技术应用和生理机制存在差异,进... 背景:慢性踝关节不稳患者行走时倾向于过度足内翻,这将增加步行周期支撑相踝关节扭伤的风险。临床医生常使用肌内效贴布或运动贴布进行踝关节贴扎。由于肌内效贴布具有弹性,而运动贴布无法拉伸,因此两者技术应用和生理机制存在差异,进而可能产生不同的康复疗效。目的:对比肌内效贴布和运动贴布干预对慢性踝关节不稳患者步行支撑相足额状面和胫骨水平面运动的影响。方法:40名慢性踝关节不稳患者随机分为肌内效贴布组和运动贴布组,肌内效贴布组从后足内侧向外侧粘贴2条贴布,以产生外翻拉力;运动贴布组采用踝关节闭锁式编篮贴扎。分别于贴扎前后在电动跑台上进行行走测试,利用三维运动分析系统获取受试者足部和胫骨运动学参数。结果与结论:肌内效贴布组贴扎后于支撑相早期足外翻角度增加(P<0.05),但对支撑相晚期足的位置无影响(P>0.05);运动贴布组贴扎后于支撑相晚期胫骨内旋增加(P<0.05),而支撑相早期胫骨位置无明显改变(P>0.05)。结果表明:与运动贴布相比,肌内效贴布能够提供灵活的拉力,有利于步态周期中支撑相早期足外翻,同时不限制支撑相晚期的正常足内翻。因此,肌内效贴布可能是慢性踝关节不稳患者的实用康复疗法,在纠正踝关节异常运动的同时不限制其自然运动。 展开更多
关键词 肌内效贴布 运动贴布 慢性踝关节不稳 踝关节运动学 步态周期
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Recurrent anterior shoulder instability: Review of the literature and current concepts 被引量:11
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作者 Hakan Sofu Sarper Gürsu +3 位作者 Nizamettin Ko?kara Ali ?ner Ahmet Issιn Yalkιn ?amurcu 《World Journal of Clinical Cases》 SCIE 2014年第11期676-682,共7页
The purpose of this review article is to discuss the clinical spectrum of recurrent traumatic anterior shoulder instability with the current concepts and controversies at the scientific level. Because of increasing pa... The purpose of this review article is to discuss the clinical spectrum of recurrent traumatic anterior shoulder instability with the current concepts and controversies at the scientific level. Because of increasing participation of people from any age group of the population in sports activities, health care professionals dealing with the care of trauma patients must have a thorough understanding of the anatomy, patho-physiology, risk factors, and management of anterior shoulder instability. The risk factors for recurrent shoulder dislocation are young age, participation in high demand contact sports activities, presence of Hill-Sachs or osseous Bankart lesion, previous history of ipsilateral traumatic dislocation, ipsilateral rotator cuff or deltoid muscle insufficiency, and underlying ligamentous laxity. Achieving the best result for any particular patient depends onthe procedure that allows observation of the joint surfaces, provides the anatomical repair, maintains range of motion, and also can be applied with low rates of complications and recurrence. Although various surgical techniques have been described, a consensus does not exist and thus, orthopedic surgeons should follow and try to improve the current evidence-based treatment modalities for the patients. 展开更多
关键词 RECURRENT instability GLENOHUMERAL joint DISLOCATION SHOULDER Review
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Chronic ankle instability is associated with proprioception deficits:A systematic review and meta-analysis 被引量:29
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作者 Xiao’ao Xue Tengjia Ma +2 位作者 Qianru Li Yujie Song Yinghui Hua 《Journal of Sport and Health Science》 SCIE 2021年第2期182-191,共10页
Background:Acute ankle injury causes damage to joint mechanoreceptors and deafferentation and contributes to proprioception deficits in patients with chronic ankle instability(CAI).We aimed to explore whether deficits... Background:Acute ankle injury causes damage to joint mechanoreceptors and deafferentation and contributes to proprioception deficits in patients with chronic ankle instability(CAI).We aimed to explore whether deficits of proprioception,including kinesthesia and joint position sense(JPS),exist in patients with CAI when compared with the uninjured contralateral side and healthy people.We hypothesized that proprioception deficits did exist in patients with CAI and that the deficits varied by test methodologies.Methods:The study was a systematic review and meta-analysis.We identified studies that compared kinesthesia or JPS in patients with CAI with the uninjured contralateral side or with healthy controls.Meta-analyses were conducted for the studies with similar test procedures,and narrative syntheses were undertaken for the rest.Results:A total of 7731 studies were identified,of which 30 were included for review.A total of 21 studies were eligible for meta-analysis.Compared with the contralateral side,patients with CAI had ankle kinesthesia deficits in inversion and plantarflexion,with a standardized mean difference(SMD)of 0.41 and 0.92,respectively,and active and passive JPS deficits in inversion(SMD=0.92 and 0.72,respectively).Compared with healthy people,patients with CAI had ankle kinesthesia deficits in inversion and eversion(SMD=0.64 and 0.76,respectively),and active JPS deficits in inversion and eversion(SMD=1.00 and 4.82,respectively).Proprioception deficits in the knee and shoulder of patients with CAI were not statistically significant.Conclusion:Proprioception,including both kinesthesia and JPS,of the injured ankle of patients with CAI was impaired,compared with the uninjured contralateral limbs and healthy people.Proprioception varied depending on different movement directions and test methodologies.The use of more detailed measurements of proprioception and interventions for restoring the deficits are recommended in the clinical management of CAI. 展开更多
关键词 Chronic ankle instability joint position sense KINESTHESIA PROPRIOCEPTION
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Magnetic resonance imaging in glenohumeral instability 被引量:7
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作者 Manisha Jana Shivanand Gamanagatti 《World Journal of Radiology》 CAS 2011年第9期224-232,共9页
The glenohumeral joint is the most commonly dislocated joint of the body and anterior instability is the most common type of shoulder instability.Magnetic resonance (MR) imaging,and more recently,MR arthrography,have ... The glenohumeral joint is the most commonly dislocated joint of the body and anterior instability is the most common type of shoulder instability.Magnetic resonance (MR) imaging,and more recently,MR arthrography,have become the essential investigation modalities of glenohumeral instability,especially for pre-procedure evaluation before arthroscopic surgery.Injuries associated with glenohumeral instability are variable,and can involve the bones,the labor-ligamentous components,or the rotator cuff.Anterior instability is associated with injuries of the anterior labrum and the anterior band of the inferior glenohumeral ligament,in the form of Bankart lesion and its variants;whereas posterior instability is associated with reverse Bankart and reverse Hill-Sachs lesion.Multidirectional instability often has no labral pathology on imaging but shows specific osseous changes such as increased chondrolabral retroversion.This article reviews the relevant anatomy in brief,the MR imaging technique and the arthrographic technique,and describes the MR findings in each type of instability as well as common imaging pitfalls. 展开更多
关键词 SHOULDER joint instability MAGNETIC RESONANCE imaging MAGNETIC RESONANCE arthrogram
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Corticospinal activity during a single-leg stance in people with chronic ankle instability 被引量:2
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作者 Masafumi Terada Kyle B.Kosik +2 位作者 Ryan S.McCann Colin Drinkard Phillip A.Gribble 《Journal of Sport and Health Science》 SCIE 2022年第1期58-66,共9页
Purpose:The aim of the study was to determine whether corticospinal excitability and inhibition of the tibialis anterior during single-leg standing differs among individuals with chronic ankle instability(CAI),lateral... Purpose:The aim of the study was to determine whether corticospinal excitability and inhibition of the tibialis anterior during single-leg standing differs among individuals with chronic ankle instability(CAI),lateral ankle sprain copers,and healthy controls.Methods:Twenty-three participants with CAI,23 lateral ankle sprain copers,and 24 healthy control participants volunteered.Active motor threshold(AMT),normalized motor-evoked potential(MEP),and cortical silent period(CSP)were evaluated by transcranial magnetic stimulation while participants performed a single-leg standing task.Results:Participants with CAI had significantly longer CSP at 100%of AMT and lower normalized MEP at 120%of AMT compared to lateral ankle sprain copers(CSP100%:p=0.003;MEP120%:p=0.044)and controls(CSP100%:p=0.041;MEP120%:p=0.006).Conclusion:This investigation demonstrate altered corticospinal excitability and inhibition of the tibialis anterior during single-leg standing in participants with CAI.Further research is needed to examine the effects of corticospinal maladaptations to motor control of the tibial anterior on postural control performance in those with CAI. 展开更多
关键词 Ankle sprain joint instability Motor cortex Postural control
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Anatomy of the anterolateral ligament of the knee joint
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作者 Jun-Gu Park Seung-Beom Han +2 位作者 Hye Chang Rhim Ok Hee Jeon Ki-Mo Jang 《World Journal of Clinical Cases》 SCIE 2022年第21期7215-7223,共9页
Despite remarkable improvements in clinical outcomes after anterior cruciate ligament reconstruction,the residual rotational instability of knee joints remains a major concern.The anterolateral ligament(ALL)has recent... Despite remarkable improvements in clinical outcomes after anterior cruciate ligament reconstruction,the residual rotational instability of knee joints remains a major concern.The anterolateral ligament(ALL)has recently gained attention as a distinct ligamentous structure on the anterolateral aspect of the knee joint.Numerous studies investigated the anatomy,function,and biomechanics of ALL to establish its potential role as a stabilizer for anterolateral rotational instability.However,controversies regarding its existence,prevalence,and femoral and tibial insertions need to be addressed.According to a recent consensus,ALL exists as a distinct ligamentous structure on the anterolateral aspect of the knee joint,with some anatomic variations.The aim of this article was to review the updated anatomy of ALL and present the most accepted findings among the existing controversies.Generally,ALL originates slightly proximal and posterior to the lateral epicondyle of the distal femur and has an anteroinferior course toward the tibial insertion between the tip of the fibular head and Gerdy’s tubercle below the lateral tibial plateau. 展开更多
关键词 Knee joint ANATOMY Anterolateral ligament Anterior cruciate ligament Anterolateral rotational instability Anterolateral ligament reconstruction
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内侧髌股韧带重建的研究进展 被引量:1
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作者 吴金龙 赵金忠 《中国研究型医院》 2024年第1期29-33,共5页
髌股关节不稳是一种常见的膝关节损伤,主要见于年轻患者,明显影响患者的日常生活和运动功能。内侧髌股韧带(MPFL)是髌骨内侧限制髌骨外向脱位的主要稳定结构,也是髌骨不稳发生时必然要损坏的结构。因此,通过MPFL重建恢复髌骨的稳定性为... 髌股关节不稳是一种常见的膝关节损伤,主要见于年轻患者,明显影响患者的日常生活和运动功能。内侧髌股韧带(MPFL)是髌骨内侧限制髌骨外向脱位的主要稳定结构,也是髌骨不稳发生时必然要损坏的结构。因此,通过MPFL重建恢复髌骨的稳定性为必要措施。虽然MPFL重建在临床上应用较为广泛,但部分手术细节,如股骨隧道和髌骨隧道定位、移植物材料选择、移植物固定角度、移植物张力选择等方面是否影响疗效仍存在争议。近年来,生物力学研究和临床研究的不断深入为术式的优化提供了可靠的循证依据。本文笔者将对MPFL重建的研究新进展进行综述。 展开更多
关键词 骨-髌韧带-骨组织移植重建术 关节不稳定性 综述
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弹性固定与螺钉坚强固定治疗合并下胫腓不稳定踝关节骨折的对照试验 被引量:1
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作者 张国辉 田伟峰 +4 位作者 李华 王泉 刘艳辉 关玉龙 肖春来 《中国组织工程研究》 CAS 北大核心 2024年第24期3862-3866,共5页
背景:尽管传统螺钉内固定治疗踝关节骨折可取得较满意效果,但是刚性内固定方案易于限制踝关节活动,延迟骨折愈合;而弹性内固定更加符合人体力学结构,在踝关节骨折患者中凸显独特优势。目的:对比弹性固定与螺钉坚强固定治疗合并下胫腓不... 背景:尽管传统螺钉内固定治疗踝关节骨折可取得较满意效果,但是刚性内固定方案易于限制踝关节活动,延迟骨折愈合;而弹性内固定更加符合人体力学结构,在踝关节骨折患者中凸显独特优势。目的:对比弹性固定与螺钉坚强固定治疗合并下胫腓不稳定的踝关节骨折的临床效果。方法:回顾性收集2019年8月至2021年8月衡水市人民医院108例伴下胫腓不稳定的老年踝关节骨折患者的临床资料,根据内固定方案分为螺钉组和弹性内固定组(n=54),分别行传统螺钉内固定及弹性内固定治疗。统计并比较两组患者围术期指标、手术效果、经济学效益及美国足踝外科协会评分,对比手术前后血清肿瘤坏死因子α、白细胞介素8水平及踝穴宽度、深度、下胫腓间隙。结果与结论:①弹性内固定组完全负重时间短于螺钉组,操作角度大于螺钉组,并发症发生率低于螺钉组(P<0.05);②术后3 d弹性内固定组血清肿瘤坏死因子α、白细胞介素8水平低于螺钉组(P<0.05);③术后6,12个月两组美国足踝外科协会评分高于术前,下胫腓间隙、踝穴深度及宽度低于术前(P<0.05),但两组间比较无显著差异(P>0.05);④术后12个月两组手术优良率比较差异无显著性意义(P>0.05);⑤两组直接非医疗成本、直接医疗成本、总成本比较差异无显著性意义(P>0.05);⑥提示弹性内固定修复合并下胫腓不稳定的老年踝关节骨折效果确切,可缩短完全负重时间、降低并发症、减轻炎症应激。 展开更多
关键词 老年 踝关节 下胫腓不稳定 弹性内固定 螺钉 经济学
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解剖重建与解剖修补治疗慢性踝关节外侧不稳的临床效果及安全性Meta分析
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作者 曾海全 缪伟金 +2 位作者 余铭 王敏 王文 《中国现代医生》 2024年第30期13-20,共8页
目的通过Meta分析对解剖修补和解剖重建的临床疗效和安全性进行评价。方法系统检索PubMed、Embase、万方数据知识服务平台、中国知网等数据库,获得各数据库自建库至2022年12月有关解剖修补与解剖重建治疗慢性踝关节外侧不稳的相关文献,... 目的通过Meta分析对解剖修补和解剖重建的临床疗效和安全性进行评价。方法系统检索PubMed、Embase、万方数据知识服务平台、中国知网等数据库,获得各数据库自建库至2022年12月有关解剖修补与解剖重建治疗慢性踝关节外侧不稳的相关文献,使用Revman 5.4、R 4.2软件进行Meta分析。结果最终纳入8篇文献,均为随机对照试验。Meta分析结果显示解剖修补和解剖重建在术后应力位距骨前移距离(MD=0.54,95%CI:0.27~0.81,P<0.01)、距骨倾斜角(MD=0.36,95%CI:0.07~0.66,P=0.02)、美国足与踝关节协会踝与后足功能评分方面比较,差异有统计学意义(MD=–4.79,95%CI:–6.58~–3.01,P<0.01);而并发症比较,差异无统计学意义(RR=1.13,95%CI:0.32~3.97,P=0.85)。结论解剖重建术临床疗效优于解剖修补术,两种治疗方法的并发症风险相当。 展开更多
关键词 慢性踝关节外侧不稳 解剖重建 解剖修补 META分析
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针刺联合摇髋法治疗骶髂关节紊乱临床观察
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作者 刘炼 游菲 +1 位作者 段晨 胡星 《河北中医》 2024年第6期985-988,共4页
目的观察针刺联合摇髋法治疗骶髂关节紊乱的临床疗效。方法将96例骶髂关节紊乱患者按照随机数字表法分为2组,对照组48例予针刺治疗,治疗组48例在对照组治疗基础上应用摇髋法治疗。2组均1周为1个疗程,连续治疗4个疗程。比较2组疗效;比较... 目的观察针刺联合摇髋法治疗骶髂关节紊乱的临床疗效。方法将96例骶髂关节紊乱患者按照随机数字表法分为2组,对照组48例予针刺治疗,治疗组48例在对照组治疗基础上应用摇髋法治疗。2组均1周为1个疗程,连续治疗4个疗程。比较2组疗效;比较2组治疗前和治疗2、4周数字疼痛强度量表(NRS)评分、Roland-Morris功能障碍调查表(RMDQ)评分、Oswestry功能障碍指数(ODI)评分变化;比较2组治疗前后腰椎活动度变化。结果治疗组优良率87.50%(42/48),对照组优良率70.83%(34/48),治疗组疗效优于对照组(P<0.05)。2组治疗2、4周NRS评分、RMDQ评分、ODI评分均较本组治疗前降低(P<0.05),治疗4周NRS评分、RMDQ评分、ODI评分均较本组治疗2周降低(P<0.05);治疗2、4周治疗组NRS评分、RMDQ评分、ODI评分均低于对照组治疗同期(P<0.05)。2组治疗后腰椎前伸、后屈、左旋、右旋活动度均较本组治疗前增加(P<0.05),且治疗组增加更明显(P<0.05)。结论针刺联合摇髋法治疗骶髂关节紊乱,可有效缓解患者下腰痛,改善腰椎功能。 展开更多
关键词 关节不稳定性 骶髂关节 针刺疗法 推拿
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踝关节镜下增强修复技术与重建技术在慢性踝关节不稳治疗中的疗效比较
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作者 李宝 张文婷 +4 位作者 张振 张桐赫 李灏坤 刘珊珊 刘欣伟 《创伤外科杂志》 2024年第8期566-573,共8页
目的比较全镜下增强修复技术与重建技术治疗慢性踝关节不稳的临床疗效。方法回顾性分析2020年4月—2022年7月北部战区总医院骨科收治的因训练致慢性踝关节不稳患者39例(致伤原因:武装跑步训练13例,战术训练9例,蛇形跑11例,其他体能训练6... 目的比较全镜下增强修复技术与重建技术治疗慢性踝关节不稳的临床疗效。方法回顾性分析2020年4月—2022年7月北部战区总医院骨科收治的因训练致慢性踝关节不稳患者39例(致伤原因:武装跑步训练13例,战术训练9例,蛇形跑11例,其他体能训练6例),按照手术技术不同分为增强修复组(19例)和重建组(20例)。增强修复组采用3枚带线锚钉对韧带进行增强修复,男性18例,女性1例;年龄21~39岁,平均29.4岁;左侧11例,右侧8例。重建组采用先进韧带增强装置(LARS)重建踝外侧副韧带,男性19例,女性1例;年龄25~42岁,平均26.5岁;左侧9例,右侧11例。分别于术前和术后12个月比较踝关节VAS、美国足踝外科协会(AOFAS)踝及后足评分、肢体对称指数(LSI)、距骨前移距离、距骨倾斜角、术后6个月和12个月重返生活/运动人数比例及术后并发症。结果两组患者术后均随访12~15个月,平均14.7个月。组内术后12个月观察指标均较术前改善[增强修复组:VAS(0.7±0.4)分 vs.(3.8±0.6)分、AOFAS踝及后足评分(92.6±2.5)分vs.(53.6±4.5)分、LSI(84.3%±3.6% vs.70.4%±6.1%)、距骨前移距离(3.1±1.0)mm vs.(9.8±1.6)mm、距骨倾斜角(3.3±1.0)°vs.(9.5±1.1)°;重建组:VAS(0.8±0.5)分vs.(4.0±0.5)分、AOFAS(85.8±4.1)分 vs.(51.2±4.1)分、LSI(77.7%±5.3% vs.69.0%±6.0%)、距骨前移距离(3.1±0.8)mm vs.(10.2±2.2)mm、距骨倾斜角(3.5±0.8)°vs.(9.7±1.5)°],差异有统计学意义(P<0.05);增强修复组术后12个月AOFAS踝及后足评分总分(92.6±2.5)分、LSI(84.3%±3.6%)优于重建组[(85.8±4.1)分,77.7%±5.3%],差异有统计学意义(P<0.05);增强修复组术后6个月重返运动人数比例高于重建组(36.8%vs.5.0%,P<0.05);两组VAS、距骨前移距离、距骨倾斜角、术后12个月重返生活/运动人数比例及术后手术技术相关不良反应(感染、脱钉、血栓)比较差异无统计学意义(P>0.05)。结论两种手术技术用于治疗慢性踝关节不稳的关节功能均较术前改善明显。与重建技术相比,增强修复技术功能改善更快,利于早期康复和重返运动。 展开更多
关键词 慢性踝关节不稳 踝关节 关节镜 距腓前韧带 重建手术
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不同物理治疗对功能性踝关节不稳干预效果的比较研究
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作者 尹贻锟 徐刚 孙君志 《吉林体育学院学报》 2024年第2期93-100,共8页
研究目的:比较Maitland关节松动与本体感觉神经肌肉促进技术(PNF)训练对功能性踝关节不稳(FAI)干预效果。研究方法:招募FAI受试者30例,将受试者随机数字表法分为关松组(n=15)、PNF组(n=15)。两组患者均进行常规康复训练(肌力+平衡训练)... 研究目的:比较Maitland关节松动与本体感觉神经肌肉促进技术(PNF)训练对功能性踝关节不稳(FAI)干预效果。研究方法:招募FAI受试者30例,将受试者随机数字表法分为关松组(n=15)、PNF组(n=15)。两组患者均进行常规康复训练(肌力+平衡训练),关松组在此基础上增加Maitland关节松动,PNF组此基础上增加等张组合训练和稳定性反转训练,每周3次,连续8周。干预前后进行患侧星形偏移平衡测试(SEBT)、肌肉力量、姿势控制能力、坎伯兰踝关节不稳量表(CAIT)评估两组受试者平衡、肌力、姿势控制、踝关节功能。研究结果:与组内治疗前比较,两组受试者治疗后平衡、肌力、姿势控制、踝关节功能均有所改善(P<0.05);其中关松组SEBT-A、SEBT-C明显优于PNF组,其中PNF组背屈、跖屈肌力增加高于关松组,其中关松组频率、振幅、摆动系数优于PNF组,差异有统计学意义(P<0.05)。研究结论:关节松动和PNF训练干预后FAI患者平衡能力、肌力、姿势控制均有所改善,平衡能力和下肢姿势控制能力方面关节松动更具有优势,踝周围肌肉力量增强方面,PNF训练则更具有优势。 展开更多
关键词 Maitland关节松动 本体感觉神经肌肉促进技术 功能性踝关节不稳
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郑氏伤科药物结合郑氏形意拳对慢性踝关节不稳患者关节功能及疗效的影响
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作者 宁兴明 魏国华 +4 位作者 刘峻宏 刘亮 巫宗德 鲍沁蔚 穆昕 《四川中医》 2024年第11期130-134,共5页
目的:探讨郑氏伤科药物结合郑氏形意拳对慢性踝关节不稳(CAI)患者的治疗价值。方法:纳入我院2020年12月~2022年6月收治的CAI患者210例进行研究,按随机数字表法分成对照组与治疗组各105例。对照组采用超短波+郑氏形意拳治疗,治疗组采用... 目的:探讨郑氏伤科药物结合郑氏形意拳对慢性踝关节不稳(CAI)患者的治疗价值。方法:纳入我院2020年12月~2022年6月收治的CAI患者210例进行研究,按随机数字表法分成对照组与治疗组各105例。对照组采用超短波+郑氏形意拳治疗,治疗组采用郑氏伤科药物+郑氏形意拳治疗。比较两组治疗前后的中医症状评分、疼痛视觉模拟评分(VAS)、美国足踝协会(AOFAS)踝-后足评分及踝关节肌力指标,包括背屈峰力矩(DPT)、跖屈峰力矩(PPT)、背屈总功(DTW)、跖屈总功(PTW),评估总体疗效,比较两组不良反应。结果:两组治疗后踝部疼痛、瘀斑肿胀、踝部功能受限评分低于治疗前,且治疗组低于对照组(P<0.05)。两组治疗1、3、6个月VAS评分低于治疗前,且治疗组低于常规组,两组治疗1、3、6个月AOFAS评分高于治疗前,且治疗组高于常规组(P<0.05)。两组治疗后DPT、PPT、DTW、PTW高于治疗前,且治疗组高于对照组(P<0.05)。治疗组(95.24%)总有效率高于对照组(84.76%)(P<0.05)。对照组无患者出现不良反应,治疗组不良反应率为3.81%,两组比较无差异(P>0.05)。结论:郑氏伤科药物结合郑氏形意拳能改善CAI患者的关节功能与踝关节肌力,总体疗效良好,安全性高。 展开更多
关键词 慢性踝关节不稳 郑氏伤科药物 郑氏形意拳 功能受限 临床疗效
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骨间膜远端斜束强化技术治疗下尺桡关节不稳定的临床疗效
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作者 刘永刚 吴优 《海军军医大学学报》 CAS CSCD 北大核心 2024年第7期911-916,共6页
目的探讨骨间膜远端斜束强化技术治疗下尺桡关节(DRUJ)不稳定的临床疗效。方法回顾性分析2019年1月至2022年1月于我院接受骨间膜远端斜束强化技术治疗的24例DRUJ不稳定患者的临床资料,收集患者的年龄,手术部位,随访时间,术前及末次随访... 目的探讨骨间膜远端斜束强化技术治疗下尺桡关节(DRUJ)不稳定的临床疗效。方法回顾性分析2019年1月至2022年1月于我院接受骨间膜远端斜束强化技术治疗的24例DRUJ不稳定患者的临床资料,收集患者的年龄,手术部位,随访时间,术前及末次随访时的腕关节视觉模拟量表(VAS)评分、前臂旋前及旋后活动度、快速臂肩手功能障碍评分,术后并发症等。比较手术前后患者腕关节VAS评分及功能指标。结果随访12~21个月,平均随访时间为(15.38±2.76)个月。术前腕关节VAS评分为4~8(6.13±1.08)分,末次随访时为1~3(1.25±0.53)分,较术前改善(P<0.001);术前前臂旋前及旋后活动度为95°~145°(120.83±14.35)°,末次随访时为145°~180°(175.21±6.51)°,较术前增大(P<0.001);术前快速臂肩手功能障碍评分为34~98(78.58±19.22)分,末次随访时为10~34(21.46±6.30)分,较术前下降(P<0.001)。术后1例患者前臂旋前受限,1例存在DRUJ不稳定,经相应处理后恢复。所有患者均未出现因同种异体肌腱所致的排斥反应或感染,以及操作所致的重要神经和血管损伤。结论骨间膜远端斜束强化技术临床效果满意,并发症发生率低,是一种安全、有效的DRUJ不稳定治疗方式。 展开更多
关键词 骨间膜 远端斜束 下尺桡关节 关节不稳定性
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静应力下结构面扰动变形破坏过程试验研究
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作者 杨嘉楠 范鹏贤 +3 位作者 朱彦涛 李超 王波 蒋海明 《陆军工程大学学报》 2024年第3期69-75,共7页
结构面的剪切变形特性通常决定着围岩体的整体稳定性。为探究结构面的扰动剪切失稳特性,采用不同起伏角度及材料的对称规则齿形结构面试件,开展一定初始静应力下的扰动失稳试验。根据工程现场易获取的基本参数,如峰值剪切强度和峰值剪... 结构面的剪切变形特性通常决定着围岩体的整体稳定性。为探究结构面的扰动剪切失稳特性,采用不同起伏角度及材料的对称规则齿形结构面试件,开展一定初始静应力下的扰动失稳试验。根据工程现场易获取的基本参数,如峰值剪切强度和峰值剪切位移,将结构面分为低强低脆高延性、高强高脆高延性、高强高脆低延性3种类型,相较于准静态荷载工况,扰动工况下含齿结构面的峰值剪切强度均降低明显,但峰值剪切位移相差不大。低强低脆高延性结构面在不同应力路径下均无明显应力降,为不易致灾的类型;高强高脆低延性结构面的峰值强度高,累积不可逆位移量小,峰后跌落大,较高延性结构面更易导致失稳。 展开更多
关键词 结构面分型 初始静应力 变形机理 不可逆位移 扰动失稳
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寰枢椎脱位后路内固定与复位技术的研究进展
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作者 马仁财 马向阳 《中国骨科临床与基础研究杂志》 2024年第2期145-153,共9页
寰枢椎后路手术是治疗寰枢椎脱位的常用方法,复位及内固定是手术成功的关键。后路固定技术目前主要包括线缆技术、椎板夹技术、Magerl技术、钉板固定和钉棒固定,复位技术包括后路撑开联合侧块支撑或植骨技术、后路撑开和/或加压复位技... 寰枢椎后路手术是治疗寰枢椎脱位的常用方法,复位及内固定是手术成功的关键。后路固定技术目前主要包括线缆技术、椎板夹技术、Magerl技术、钉板固定和钉棒固定,复位技术包括后路撑开联合侧块支撑或植骨技术、后路撑开和/或加压复位技术。本文对寰枢椎后路内固定及复位技术的研究现状及优缺点进行综述,旨在为手术方式的选择提供指导。 展开更多
关键词 寰枢关节 关节不稳定性 后路手术 内固定器 复位
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带袢钛板与下胫腓螺钉内固定治疗踝关节骨折合并下胫腓联合不稳患者的临床效果比较
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作者 陈秀国 《临床医学研究与实践》 2024年第7期73-76,共4页
目的比较带袢钛板与下胫腓螺钉内固定治疗踝关节骨折合并下胫腓联合不稳患者的临床效果。方法选取我院2020年1月至2023年1月收治的82例踝关节骨折合并下胫腓联合不稳患者为研究对象,以固定方式不同将其分为螺钉组(41例,下胫腓螺钉内固... 目的比较带袢钛板与下胫腓螺钉内固定治疗踝关节骨折合并下胫腓联合不稳患者的临床效果。方法选取我院2020年1月至2023年1月收治的82例踝关节骨折合并下胫腓联合不稳患者为研究对象,以固定方式不同将其分为螺钉组(41例,下胫腓螺钉内固定治疗)和带袢钛板组(41例,带袢钛板内固定治疗)。比较两组的治疗效果。结果带袢钛板组的治疗优良率显著高于螺钉组(P<0.05)。带袢钛板组的手术时长、卧床时长、创口愈合时长、骨折愈合时间均显著短于螺钉组,术中出血量显著少于螺钉组(P<0.05)。术后,带袢钛板组的Baird-Jackson踝关节评分、内侧关节间隙(MCS)、下胫腓关节间隙(TFCS)及骨密度(BMD)均显著高于螺钉组,胫腓骨重叠(TFO)显著低于螺钉组(P<0.05)。带袢钛板组的术后不良事件及并发症总发生率显著低于螺钉组(P<0.05)。结论对于踝关节骨折合并下胫腓联合不稳患者而言,带袢钛板较之下胫腓螺钉内固定治疗具有更佳的预后效果。 展开更多
关键词 踝关节骨折 下胫腓联合不稳 带袢钛板 下胫腓螺钉 内固定治疗
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