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91.
Objective To investigate the role of arthroscopy in the treatment of intra-articular distal radius fractures. Methods Twelve cases of intra-articular distal radius fractures treated from 2004 to 2007 were reviewed. In these cases, open reduction and internal fixation were performed with the assistance of wrist arthroscopy to observe the alignment of the articular surface. CT scan was obtained postoperatively to evaluate joint alignment, radial height, volar tilting and radial inclination. Recovery of the wrist function was also followed. Results The average postoperative follow up period was 24 months. None of the 12 cases was found to have any "step" appearance of the articular surface of the wrist. X-ray measurement showed radial height averaged 12 mm (7 to 15 mm), volar tilting averaged 5° (1° to9°) and radial inclination averaged 20 °(14° to28°). Range of motion of the wrist joint achieved 33° of flexion on average ( 18° to 42°) and 38° of extension on average (21° to 42°). Six cases had mild pain during motion. According to Gartland / Werley' s criteria, the result was excellent in 5 eases and good in 7. Conclusion Arthroscope-assisted treatment of intra-articular distal radius fractures can avoid "step" appearance of the articular surface of the wrist, thus achieve maximal functional recovery of the wrist. 相似文献
92.
Objective To investigate the role of arthroscopy in the treatment of intra-articular distal radius fractures. Methods Twelve cases of intra-articular distal radius fractures treated from 2004 to 2007 were reviewed. In these cases, open reduction and internal fixation were performed with the assistance of wrist arthroscopy to observe the alignment of the articular surface. CT scan was obtained postoperatively to evaluate joint alignment, radial height, volar tilting and radial inclination. Recovery of the wrist function was also followed. Results The average postoperative follow up period was 24 months. None of the 12 cases was found to have any "step" appearance of the articular surface of the wrist. X-ray measurement showed radial height averaged 12 mm (7 to 15 mm), volar tilting averaged 5° (1° to9°) and radial inclination averaged 20 °(14° to28°). Range of motion of the wrist joint achieved 33° of flexion on average ( 18° to 42°) and 38° of extension on average (21° to 42°). Six cases had mild pain during motion. According to Gartland / Werley' s criteria, the result was excellent in 5 eases and good in 7. Conclusion Arthroscope-assisted treatment of intra-articular distal radius fractures can avoid "step" appearance of the articular surface of the wrist, thus achieve maximal functional recovery of the wrist. 相似文献
93.
Objective To investigate the role of arthroscopy in the treatment of intra-articular distal radius fractures. Methods Twelve cases of intra-articular distal radius fractures treated from 2004 to 2007 were reviewed. In these cases, open reduction and internal fixation were performed with the assistance of wrist arthroscopy to observe the alignment of the articular surface. CT scan was obtained postoperatively to evaluate joint alignment, radial height, volar tilting and radial inclination. Recovery of the wrist function was also followed. Results The average postoperative follow up period was 24 months. None of the 12 cases was found to have any "step" appearance of the articular surface of the wrist. X-ray measurement showed radial height averaged 12 mm (7 to 15 mm), volar tilting averaged 5° (1° to9°) and radial inclination averaged 20 °(14° to28°). Range of motion of the wrist joint achieved 33° of flexion on average ( 18° to 42°) and 38° of extension on average (21° to 42°). Six cases had mild pain during motion. According to Gartland / Werley' s criteria, the result was excellent in 5 eases and good in 7. Conclusion Arthroscope-assisted treatment of intra-articular distal radius fractures can avoid "step" appearance of the articular surface of the wrist, thus achieve maximal functional recovery of the wrist. 相似文献
94.
Objective To investigate the role of arthroscopy in the treatment of intra-articular distal radius fractures. Methods Twelve cases of intra-articular distal radius fractures treated from 2004 to 2007 were reviewed. In these cases, open reduction and internal fixation were performed with the assistance of wrist arthroscopy to observe the alignment of the articular surface. CT scan was obtained postoperatively to evaluate joint alignment, radial height, volar tilting and radial inclination. Recovery of the wrist function was also followed. Results The average postoperative follow up period was 24 months. None of the 12 cases was found to have any "step" appearance of the articular surface of the wrist. X-ray measurement showed radial height averaged 12 mm (7 to 15 mm), volar tilting averaged 5° (1° to9°) and radial inclination averaged 20 °(14° to28°). Range of motion of the wrist joint achieved 33° of flexion on average ( 18° to 42°) and 38° of extension on average (21° to 42°). Six cases had mild pain during motion. According to Gartland / Werley' s criteria, the result was excellent in 5 eases and good in 7. Conclusion Arthroscope-assisted treatment of intra-articular distal radius fractures can avoid "step" appearance of the articular surface of the wrist, thus achieve maximal functional recovery of the wrist. 相似文献
95.
老年髋关节置换术后深静脉栓塞的预防及护理 总被引:1,自引:0,他引:1
髋关节置换术已成为治疗股骨头坏死以及严重髋关节疾病的有效方法,但出于患者多属高龄,且常伴有多脏器病变,而手术创伤、骨水泥反应以及术中长时间的被动体位都可使血管损伤的概率大大增加,使血液处于高凝状态,易发生下肢深静脉栓(DVP)。我院2005,2006年共收治194例髋关节置换术老年患者,因采取早期的预防措施及护理,取得了良好效果,均痊愈出院。现总结报告如下。 相似文献
96.
97.
BPB移植在急性前交叉韧带损伤中的作用 总被引:2,自引:0,他引:2
目的:探讨BPB移植在急性ACL损伤的应用。方法:采用小切口行BPB移植重建急性ACL损伤8例。结果:随访10个月-4年,功能按Lyscholm标准,优6例,良2例。结论:急性前交叉韧带损伤利用了自体骨-髌腱-骨组织重建,可获得较满意的临床效果。 相似文献
98.
下颈椎经关节螺钉植入深度的侧位X线片评价 总被引:1,自引:0,他引:1
目的 运用侧位x线片评价下颈椎经关节螺钉植入深度的安伞性.方法 采用6具新鲜颈椎标本(C1~T1),每具标本均在直视下植入下颈椎经关节螺钉(每侧4枚螺钉:C3,4、C4,5、C5,6、C6,7各1枚),分别在植入螺钉尖端穿出最后一层皮质0、2、4、6 mm时摄标准侧位x线片,将侧位X线片上椎体垂直等分为四部分,定义为1~4区,并定义椎体后缘之后相当宽度的区域为前1区.每次植入时记录螺钉尖端在X线侧位片的位置,以综合评价螺钉植入的安全性.结果 在C3,4和C4,5螺钉尖端穿出最后一层皮质0 mm时,87.5%在1区,穿出2 mm时,54.2%在1区.当螺钉尖端穿出4 mm时,75.O%在2区,穿出6mm时58.3%在3区.在C5,6和C6,7,穿出0mm时75.0%位于前1区,穿出2mm时,54.2%位于前1区;穿出4 mm时83.3%位于1区,穿出6mm时,50.0%位于2区.结论 侧位X线片町用于评价下颈椎经关节螺钉植入深度的安全性.在侧位X线片上,理想的螺钉尖端位置为C3,4和C4,5应位于1区,而在Cs,6和C6.7应位于前1区. 相似文献
99.
100.
为探讨心房颤动(㈦的病因及分布特点,指导Af的治疗,对我院240例Af患者进行分析,现报告如下。
对象与方法
1对象2002—2005年我院住院Af患者共240例,其中男性116例,女性124例。年龄20—96岁,平均(61.8±14.1)岁。对反复住院患者以最近一次住院资料为准。 相似文献