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find Author "田家祥" 2 results
  • 生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效

    目的 总结生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效。 方法2003年4月-2007年10月,采用生物型假体对18例(23髋)青年强直性脊柱炎髋关节病变行人工全髋关节置换。男12例(17髋),女6例(6髋);年龄19~34岁,平均26.4岁。左侧8例,右侧5例;双侧5例。合并髋关节病变5~8年,平均6.8年。术前髋关节屈伸活动度为(30.3 ± 21.4)°,髋关节功能Harris评分为(43.2 ± 2.7)分。 结果术后切口均Ⅰ期愈合,无下肢深静脉血栓形成、肺栓塞、深部感染等并发症发生。患者均获随访,随访时间4年6个月~8年,平均6年。术后2例(2髋)发生异位骨化,1例(1髋)自觉大腿轻度酸痛。术前步态异常患者中除1例仍存在轻度摇摆外,其余患者步态均恢复正常。随访期间无假体脱位及翻修发生。末次随访时,Harris评分为(90.3 ± 3.5)分,髋关节屈伸活动度达(95.3 ± 27.6)°,与术前比较差异均有统计学意义(P lt; 0.05)。 结论生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变中期疗效满意。

    Release date:2016-08-31 04:06 Export PDF Favorites Scan
  • COMPARISON OF PERCUTANEOUS POKING REDUCTION FIXATION AND OPEN REDUCTION AND INTERNAL FIXATION FOR DISPLACED Sanders Ⅱ TYPE CALCANEAL FRACTURES

    ObjectiveTo compare the clinical results between percutaneous poking reduction fixation and open reduction and internal fixation for the displaced Sanders Ⅱ type calcaneal fractures. MethodsA retrospective analysis was made on the clinical data of 122 patients with Sanders Ⅱ type calcaneal fractures between May 2007 and May 2012, who accorded with the inclusion criteria. The closed reduction and percutaneus Kirschner wire fixation were used in 61 patients (closed group), and open reduction and internal fixation were used in 61 patients (open group). There was no significant difference in gender, age, fracture side, weight, height, body mass index, the causes of injury, the fracture type, Böhler angle, Gissane angle, and the time from trauma to operation between 2 groups (P>0.05). The operation time, intraoperative blood loss, hospitalization days, wound complications, fracture healing time, American Orthopaedic Foot and Ankle Society (AOFAS) score, and radiographic results were compared between 2 groups. ResultsThe operation time, intraoperative blood loss, and hospitalization days in closed group were significantly less than those in open group (P<0.05). There was no deep infections in both group; wound dehiscence, skin flap necrosis, and wound infection occurred in 3 patients, 2 patients, and 1 patient of the open group, no wound complication happened in closed group, and there was significant difference in the incidence of wound complications between 2 groups (P=0.027). The patients were followed up 24-68 months (mean, 38.7 months) in the closed group and 26-66 months (mean, 38.7 months) in the open group. There was no significant difference in the fracture healing time between 2 groups (t=-1.562, P=0.121). The Böhler angle and Gissane angle at last follow-up were significantly improved when compared with preoperative angle in the closed group (t=-27.929, P=0.000; t=-26.351, P=0.000) and the open group (t=-32.565, P=0.000; t=-25.561, P=0.000), but there was no significant difference between 2 groups (P>0.05). AOFAS score showed no significant difference between 2 groups (t=-0.492, P=0.624). ConclusionFor the displaced Sanders Ⅱ type calcaneal fractures, the use of closed reduction and percutaneus Kirschner wire fixation or open reduction and internal fixation can both obtain satisfactory clinical function and radiographic results, but the former has the advantage of less trauma, shorter hospitalization time, and fewer wound complications.

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