自拟方治疗膝关节慢性滑膜炎67例观察

目的 观察自拟方治疗膝关节慢性滑膜炎临床疗效.方法 采用自拟中药汤剂治疗膝关节慢性滑膜炎.结果 经自拟方治疗后,随访1年,治愈43例,占64%;有效22例,占32%;无效2例,占3%.结论 自拟中药汤剂治疗膝关节慢性滑膜炎有较好疗效,临床可以采用.     

萆薢归膝汤治疗慢性膝关节滑膜炎150例

目的 探讨纯中药内服治疗慢性膝关节滑膜炎的临床疗效.方法 在中医辨证论治的基础上,采用萆薢归膝汤为主方结合辨证加减内服治疗慢性膝关节滑膜炎.结果 150例经1～5疗程治疗,临床治愈132例(88%),有效18纠(12%).结论 萆薢归膝汤治疗慢性膝关节滑膜炎,疗效满意.     

火针结合中药熏蒸治疗膝关节慢性滑膜炎临床观察

正膝关节滑膜炎,是指膝关节损伤后引起滑膜非感染性炎症反应,临床上分急性创伤性炎症和慢性劳损性炎症,其中慢性滑膜炎临床较为常见,严重影响患者生活质量,是临床治疗中比较棘手的问题[1]。本科室应用火针结合中药熏洗治疗膝关节慢性滑膜炎,疗效好,报道如下。     

补中益气汤加味治疗膝关节慢性滑膜炎气虚水滞型的临床观察

目的 观察补中益气汤加味治疗膝关节慢性滑膜炎气虚水滞型的临床疗效.方法 将60例膝关节慢性滑膜炎患者随机分成治疗组和对照组各30例,治疗组采用补中益气汤加味治疗,对照组采用地奥司明口服治疗,治疗2周,比较两组治疗前后膝关节肿胀程度、VAS疼痛评分、WOMAC评分和两组治疗后综合疗效.结果 治疗组的膝关节肿胀程度、VAS疼痛评分、WOMAC评分较治疗前显著降低(P<0.05),治疗组疗效优于对照组(P<0.05);治疗组总有效率为93.33%,对照组为76.67%,治疗组疗效明显优于对照组(P<0.05).结论 补中益气汤加味治疗膝关节慢性滑膜炎气虚水滞型具有较好的临床疗效.     

针刀治疗膝关节慢性创伤性滑膜炎临床疗效观察

目的 观察分析针刀治疗膝关节慢性创伤性滑膜炎的临床疗效.方法 采用随机数字表法将符合纳入标准及排除标准的60例膝关节慢性创伤性滑膜炎患者,分为治疗组和对照组,每组各30例,治疗组采用针刀治疗,对照组采用封闭治疗.在1个疗程后两组采用疼痛视觉模拟评分(VAS评分)、膝关节功能评分(Lysholm评分)、美国特种外科医院膝...     

火针结合中药熏蒸治疗膝关节慢性滑膜炎的临床观察

摘要 目的：对膝关节慢性滑膜炎患者进行火针结合中药熏蒸治疗的临床观察。方法：选择膝关节慢性滑膜炎患者62例,按随机数字表法分为治疗组、对照组各31例,治疗组采用火针结合中药熏蒸治疗法;对照组采用常规针刺治疗。结果：治疗组Lysholm膝关节功能评分和总有效率,明显优于对照组,差异具有统计学意义（P＜0.05）。结论：火针结合中药熏洗治疗膝关节慢性滑膜炎的效果良好。     

膝关节创伤性滑膜炎治疗研究进展

膝关节创伤性滑膜炎是指膝关节遭受跌、撞等暴力创伤后引起的以滑膜病变为主的急性关节炎,以膝关节疼痛、肿胀、活动受限为主要症状,若治疗不当极易发展为慢性滑膜炎,反复发作,迁延难愈。如何制定合理的治疗方案,提高膝关节创伤性滑膜炎临床疗效是诸多医师面临的一个难题。笔者通过搜集、分析近年来的相关文献报道,归纳、总结其治疗现状及不足,以期为临床治疗提供有益借鉴。     

关节镜术后膝关节腔内注射香丹治疗80例慢性创伤后滑膜炎的临床观察

本文以膝关节创伤后患慢性滑膜炎患者为临床观察对象，运用关节镜在不加重关节损伤的前提下，彻底切除膝关节病变滑膜组织，术后应用香丹注射液关节腔内注射，同时应用透明质酸钠作为对照观察。临床观察表明，香丹注射液改善膝关节功能、疼痛等症状与对照组相比较有显著性差异。结果关节镜术后配合香丹关节腔内注射治疗对膝关节慢性创伤后滑膜炎，具有良好的治疗作用。     

中西医结合治疗膝关节滑膜炎

膝关节滑膜炎分为外伤及慢性劳损两个方面,膝关节遭受骨折、脱位、韧带断裂、软骨损伤等创伤后都可使关节滑膜同时受伤。伤后积瘀积液、湿热相搏,使膝关节发热胀痛,灼热、筋肉拘挛,关节伸屈障碍,形成急性滑膜炎,如受伤较轻、或长期慢性劳损加之风寒湿邪侵袭可使膝部逐渐出现肿胀、功能障碍,形成慢性滑膜炎。我科采用中西医结合治疗膝关节滑膜炎70例,取得良好效果。临床资料1一般资料:本组病例70人,男性31人,妇女性39人。病程:最短2天,最长6个月。临床体征:膝关节肿胀、屈膝活动受限,当膝关节内积液超过50毫升可有浮髌试验阳性( )。2治疗方法…     

灵仙三妙汤内服外熏洗治疗膝关节慢性滑膜炎疗效研究

[目的]探讨灵仙三妙汤内服外熏洗治疗膝关节慢性滑膜炎的临床疗效及优势。[方法]将150例膝关节慢性滑膜炎患者随机分成治疗组、对照组A、对照组B三组,分别以灵仙三妙汤内服外熏洗;关节穿刺抽吸冲洗,地塞米松针封闭患膝关节,静脉滴注抗生素;关节腔穿刺后弹力绷带加压包扎,西乐葆胶囊口服、扶他林乳膏外擦,比较三组疗效。[结果]共150例患者接受治疗并获得随访,治疗组在治疗膝关节慢性滑膜炎的疗效明显优于对照组,差异均有统计学意义(P<0.05);消肿方面长期效果优于对照组,短期效果与对照组无明显差异(P>0.05)。[结论]灵仙三妙汤内服外熏洗治疗膝关节慢性滑膜炎在消除肿胀,改善膝关节功能等方面有一定疗效。     

Bone joint

<正>210177 Establishment of prosthesis-related infection model after total knee arthroplasty in rabbits/Wang Zhichou(王志酬,Dept Orthop Surg,1st Teaching Hosp Xinjiang Med Univ,Urumqi 830054)…Chin J Exp Surg.-2010,27(2).-258～260Objective An animal model was developed to test the efficacy of innovative therapies for the prevention of     

Bone joint

The anatomical and clinical research of the meniscofemoral ligaments;Postoperative evaluation of tunnel position by radiography in double-bundle anterior cruciate ligament reconstruction： correlation with clinical resalts;Perioperative management in Hemophilic arthropathy;Treatment of posttraumatic tibiotalar and talocalcaneal arthritis with tibiotalocalcaneal arthrodesis plus retrograde intramedullary nail.     

Bone joint

Patella reshaping versus resurfacing in total knee arthroplasty： a prospective randomized study; Arthroscopic reconstruction of anterior cruci. ate ligament using hamstring tendon graft and bioab- sorbable Rigidfix cross pins fixation;     

Bone joint

Diagnosis and arthroscopic treatment of osteo-chondral lesions of the talus;Rotational alignment of femoral prosthesis in total knee arthroplasty;Treatment of ankle arthritis after trauma through arthroscopy： a report of 52 cases;Using patella and iliac bone grafts to repair the bone defects of the knee joint due to giant cell tumor;Treatment of comblined posterior cruciate ligament and posterolateral complex injury using inlay technique     

Bone joint

206574Arthroscopic treatment of avulsion fracture ofthe tibial intercondylar eminence/Hong Lei(洪雷,DeptSports Med,Beijing Jishuitan Hosp,Beijing 100035)…∥Chin J Orthop.-2006 ,26(8) .-513 ~516ObjectiveTo describe the arthroscopic reductionsandfixation of tibial intercondylar eminence fracture withcannulated screws.MethodsDuring February 2003 toSeptember 2005 ,40 patients were treated arthroscopicallyfor fracture of thetibial intercondylar eminence .The aver-age age was 29 .5 years (11 …     

Bone joint

Recent clinical comparison of mobile-bearing and fixed-bearing total knee arthroplasty,Comparison of initial outcomes between navigated and conventional total knee arthroplasy,Computer navigation assisted minimally invasive total knee replacement： preliminary report,Preliminary clinical report of computer assisted imaging guided TKA,Computerized navigation assisted arthroscopic anterior cruciate ligament reconstruction     

Bone joint

Chinical results of total ankle replacement for ankle disorders; Severe dysfunction of knee joint at late stage after knee replacement treating knee tramna; Regulation of cadherins, by ostentropic hormones and growth factors in vitro in human osteoprogenitor eells; Effects of combined rat transforming growth factor beta-1 gene and insulin-like growth factor-1 gene cotransfection on osteoarthritis of rabbit knee joint in vivo;     

Bone joint

207597 The characterization of molecule expressions in the development of osteophytes in osteoarthritis/Li Jun- wei(李军伟,Dept Orthop,1st Affil Hosp Zhengzhou U- niv,Zhengzhou 450052)…∥Chin J Orthop.-2007 ,27 (7) .-529 ~533 Objective To investigate the characteristics of ex- pressions collagen Ⅰ, Ⅱ a, Ⅱ b, Ⅹ and gly- cosaminoglycansin the development of osteophytes in os-teoarthritis.Methods 25 speci mens were obtained from individuals undergoing total knee arthroplasty due to se- …     

Bone joint

<正>209364 Clinical observation on the different treatments targeted at different types of radial head fracture and radial neck fracture/Zhang Yingze(张英泽,Emergency Center Traumatic Orthop,3rd Hosp Hebei Med Univ,Shijiazhuang 050051)…∥Chin J Surg.-2009,47(12).-896～898Objective To assess the effect of the different treatments targeted at different types of radial head fracture and radial neck fracture.Methods A retrospective study was performed in 87 patients from February 2006 to March 2007.Fifty(four patients with radial head fractures included 36 males and 18 females,aged from 18 to 65 years (the average age was 33);Forty of them resulted from crashing,8 from traffic injury and 6 from falling injury.According to Mason classification system,there were 15 type Ⅰ,23 type Ⅱ and 16 type Ⅲ.Thirty-three patients with radial neck fractures included 21 males and 12 females,aged from 9 to 17 years (the average age was 13),29 of them resulted from crashing,1 from traffic injury and 3 from falling injury.According to O’brien classification system,there were 8 type Ⅰ,14 type Ⅱ and 11 type Ⅲ.Type Ⅰ of radial head fractures and tadial neck fractures were immobilizated with cast,the patients with type Ⅱ of radial head fractures were treated with open reduction and micro-screw or T-trapezoid and bridge-shaped plate fixation and type Ⅲ had operations to fix with bridge-shaped locked plated and repair the broken annular ligament,or replace heads with prosthesis.All patients with type Ⅱ and type Ⅲ of radial neck fractures were treated with closed reduction by leverage and percutaneous intra-medullary nailing.Results The patients were followed up for 4-12 months (mean 7.2 months).The functional recovery degrees were evaluated with Wheeler’s evaluation system.In group of radial head fractures,the results were excellent in 26 patients,good in 20,fair in 6 and poor in 2,the excellent and good rate was 85.2%.In group of radial neck fractures,the results were excellent in 20 patients,goo