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find Author "熊浩" 3 results
  • 空心加压螺钉联合带旋髂深血管骨瓣治疗青壮年股骨颈骨折

    目的总结空心加压螺钉联合带旋髂深血管骨瓣治疗青壮年股骨颈骨折的疗效。 方法2005年8 月-2011年2月,收治13例青壮年股骨颈骨折患者。男8例,女5例;年龄18~46岁,平均34.5岁。致伤原因:交通事故伤9例,高处坠落伤3例,跌伤1例。受伤至手术时间1~10 d,平均3.5 d。根据Garden分型标准分型,Ⅲ型5例,Ⅳ型8 例。采用空心加压螺钉固定联合带旋髂深血管骨瓣移植治疗。 结果除1例患者术中发现血管变异改用缝匠肌肌骨瓣移植外,其余患者均顺利完成手术。术后切口均Ⅰ期愈合,无相关并发症发生。13例均获随访,随访时间18~52个月,平均33.5个月。12例联合带旋髂深血管骨瓣移植者均达骨性愈合,愈合时间3.0~4.5个月,平均3.5个月;无股骨头缺血性坏死发生;术后18个月Harris 评分89~100分,平均96分。1例联合缝匠肌肌骨瓣移植者术后9个月复查示股骨头缺血性坏死并进行性加重。 结论对于青壮年股骨颈骨折,应用空心加压螺钉固定联合带旋髂深血管骨瓣移植重建血运,能促进骨折愈合,减少股骨颈缺血性坏死几率,是一种有效的治疗方法。

    Release date:2016-08-31 04:05 Export PDF Favorites Scan
  • H型微型钛板治疗肱三头肌腱止点断裂疗效观察

    目的 总结H型微型钛板治疗肱三头肌腱止点断裂的疗效。 方法 2007年1月-2012年3月,应用H型微型钛板治疗10例肱三头肌腱止点断裂伤患者。男7例,女3例;年龄20~57岁,平均38.5岁。致伤原因:交通事故伤3例,高处坠落伤3例,撞击伤2例,运动伤2例。受伤至入院时间为3 h~2 d,平均11 h。开放损伤2例,闭合损伤8例。6例存在肱三头肌腱止点鹰嘴处撕脱骨折。1例合并前臂尺、桡骨骨折。 结果术后切口均Ⅰ期愈合。10例均获随访,随访时间9~18个月,平均14.5个月。术后3个月复查X线片示撕脱骨折愈合,彩色超声多普勒检查示肱三头肌腱止点连续性良好,未见断裂征。术后4个月伸肘肌力均达5 级;按 Mayo 肘关节功能评分标准为91~98 分;随访期间肘关节功能无丢失,未发生肌腱再断裂、骨化性肌炎、关节僵硬等现象。 结论H型微型钛板治疗肱三头肌腱止点断裂伤具有操作简便、固定牢靠、并发症少,以及肘关节功能恢复好等优点。

    Release date:2016-08-31 10:53 Export PDF Favorites Scan
  • Changes of Erythrocyte Sedimentation Rates, C-reactive Protein, and Serum Amyloid A Proteins after Different Types of Hip Replacement and Their Clinical Significances

    ObjectiveTo observe the changing patterns of erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and serum amyloid A protein (SAA) levels before and after hip replacement surgery, and explore their clinical significances. MethodsNinety-seven consecutive patients enrolled in clinical pathway in our hospital for hip replacement from April 2011 to May 2013 were included in the present study. ESR, CRP and SAA levels were investigated preoperatively and post-operatively at day 1, 3, 5, 7, 14, Month 1 and 3. All the cases were followed up, among which there were 14 cases of total hip replacement, 56 cases of cementless hemianthroplasty, and 27 cases of biotype hemianthroplasty. ResultsAll three of ESR, CRP and SAA levels were elevated post-operatively. Levels of CRP and SAA peaked at day 3 after surgery, and then subsided gradually to pre-operative levels after 1 month. ESR level peaked at day 7 postoperatively, and then subsided gradually to pre-operative levels after 3 months. There was a significant correlation between levels of CRP and levels of SAA. ConclusionCompared with ESR and SAA, CRP appears to be a faster and more sensitive parameter. Cementless hemianthroplasty is associated with changes of SAA levels but not with CRP levels. Close monitoring of evolutionary changes in ESR, SAA and CRP levels may help to diagnose and treat early infection after hip replacement surgery.

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