髋关节后脱位合并股骨头骨折的手术治疗

[目的]探讨髋关节后脱位合并股骨头骨折的手术治疗方法与效果。[方法]1997年7月～2005年10月,共收治17例髋关节后脱位合并股骨头骨折病例,采用可吸收螺钉固定股骨头骨折12例,钛螺钉固定2例,3例骨片较小无法固定给予摘除。应用重建钢板固定髋臼骨折3例。[结果]所有患者获1～7年随访,骨折均愈合,无感染。采用Epstein标准进行功能评定,优6例,良7例,可3例,差1例,优良率达76.5%。[结论]髋关节后脱位合并股骨头骨折根据分型选择手术治疗方法,手术入路应综合多方面因素进行选择,可吸收螺钉是较理想的内固定物,术后应早活动,晚负重。     

仿AO中空加压螺钉内固定治疗股骨颈骨折

目的：探讨仿AO中空加压螺钉治疗股骨颈骨折的临床疗效。方法：对36例股骨颈骨折分别采用3枋仿AO中空加压螺钉内固定。结果：平均随访28个月，股骨颈骨折全部骨性愈合。结论：仿AO中空加压螺钉能提供骨折间的加压，操作简便，创伤小，内固定可靠，是较理想的股骨颈骨折的治疗方法。     

有限内固定和超关节外固定支架治疗胫骨远端粉碎性骨折

自2001年7月至2005年10月,应用有限内固定和超关节外固定架治疗胫骨远端骨折31例,取得满意疗效。     

外固定支架治疗胫腓骨干骨折术后早期康复训练

０引言探讨胫腓骨干骨折外固定支架固定术后早期康复训练的方法，根据患者的骨折类型，软组织损伤情况和其他合并伤的病情制定康复训练计划，在医务人员正确指导下，发挥患者的主观能动性，按计划进行早期主动，短时多次，循序渐进的下肢康复训练，以最大限度恢复患肢功能，减少并发症的发生。１材料和方法１．１材料１９９９－０１／２００２－０１本院应用外固定支架治疗胫腓骨干骨折７９例，男５１例，女２８例，年龄１５．５～６３岁，平均３７．２岁。损伤原因：车祸伤３９例，压砸伤２３例，坠落伤９例，其他原因伤８例。其中开放性骨…     

弥可宝对肘管综合征致肘、腕、环指功能障碍恢复的作用

1 Subject and method 1.1 Subject 60 cases of middle and severe cubital tunnel syndrome from 1992 to 2000 were divided into three groups randomly: Group A was the Mikebao group: 20 cases including 17 male cases and 3 female cases, their ages were from 22～ 45 with the average one as 25; Group B was the vitamin B12 group: 19 cases including 17 male cases and 2 female cases, their ages were from 24～ 50 with the average one as 27; Group C was the control group: 21 cases including 19 male cases and 2 female cases, their ages were from 23～ 60 with the average one as 26. all the patients were sick at single sides, 42 cases were on the right side and 18 cases were on the left side. Causes: 15 cases were with elbow injury history and limited elbow movement, others were of no obvious causes. Courses: 5～ 72 months with the average one as 15 months. Clinical manifestation and signs: 49 cases were with elbow sour and swelling, 58 cases were with adductor pollicis muscle atrophy and 54 cases were with claw hand.Electromyography examination: ulnar nerve movement of the 60 cases at the elbows were obviously slow and CMAP (compound muscle active potential) latent periods were prolonged. All the Tinel sign of ulnar nerves were positive, one cases was with muscle paralysis and partial functional disorder at the median nerve domain, it was proven to be CTS after operation.     

锁骨与喙突间钢丝固定治疗肩锁关节Ⅲ度脱位

自1997年7月～2002年7月采用锁骨与喙突间钢丝固定治疗肩锁关节Ⅲ度脱位17例，取得满意的效果。     

髋关节滑膜软骨瘤病一例报告

髋关节滑膜软骨瘤病一例报告管廷进方留辉李兴学陈新良滑膜软骨瘤病是一种少见的关节滑膜疾患。本病发生在髋关节且一次手术取出１５３个游离体更较少见。我院１９９５年７月收治１例。患者男，３８岁，干部。因右髋部间歇性疼痛４年，加重１个月就诊。无外伤史。曾多次在...     

颈椎黄韧带骨化症的治疗

<正>黄韧带骨化症(OLF)是一种中老年性疾病,50～60岁人群发生率较高,男性多发于女性,且发生率有随年龄增加而增高的趋势;Ohara等[1]报道OLF发生率为3.8%～26.0%。OLF在颈、胸、腰椎均可发生,以胸椎最为多见,腰椎、颈椎少见。一般认为,OLF的发生机制与局部生物力学、代谢及遗传