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切降性胸锁关节成形术治疗胸锁关节脱位 总被引：3，自引：0，他引：3
目的：探讨切除性胸锁关节成形术治疗胸锁关节脱位的临床应用可行性。方法：采用切除性胸锁关节成形术和修复或重建肋锁韧带治疗5例胸锁关节脱位的病例,并对结果进行平均1．8年随访、评价。结果：全部病例均随访平均1．8年,所有病人均获优秀效果,无感染、疼痛、畸形。结论：我们认为切除性胸锁关节成形术,保留或重建肋锁韧带是治疗胸锁关节脱位疗效可靠的方法。 相似文献
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Benjamin Puliero William G. Blakeney Yann Beaulieu Pascal-André Vendittoli 《The Journal of arthroplasty》2019,34(1):65-70
Background
Assessing patients’ functional outcomes following total hip arthroplasty with traditional scoring systems is limited by their ceiling effects. The Forgotten Joint Score (FJS) has been suggested as a more discriminating option. The actual score in the FJS which constitutes a “forgotten joint,” however, has not been defined. The emerging concept of joint perception led to the development of the Patient’s Joint Perception question (PJP) to assess the patient’s opinion of their prosthetic joint.Methods
Two hundred fifty-seven total hip arthroplasties were assessed at a mean of 68 months of follow-up (range 57-79). Outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), FJS, and PJP. Correlation of the scores as well as the ceiling effects were analyzed.Results
The mean FJS was 88.5 (range 27.1-100). PJP was correlated with the FJS and WOMAC (Spearman’s rho ?0.510 and 0.465, respectively). Fifty-two percent of the patients felt their hip as a natural joint (FJS: 95% confidence interval [CI] 93.3-96.0), 24.1% as an artificial joint with no restriction (FJS: 95% CI 83.1-90.5), and 23.3% as an artificial joint with minor restrictions (FJS: 95% CI 73.8-82.2). Only 0.8% had major restrictions and none reported a non-functional joint. The ceiling effect was high with both the WOMAC and FJS, with 27.2% and 31.9%. In addition, 28.6% of the patients had a WOMAC >10 and 23.4% an FJS <90 while reporting having a natural hip. Furthermore, 21.5% with a perfect WOMAC or 21.9% with a perfect FJS reported having an artificial joint with or without limitation.Conclusion
A forgotten hip perception corresponds to an FJS >93. In 20%-30% of the cases, the WOMAC and FJS failed to identify the forgotten joint, or reached the maximum score when the patients did not feel their hip was natural. The PJP is a simple and reliable tool that enables identification of patients who feel replaced hip is natural. 相似文献5.
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《Acta orthopaedica》2013,84(1-6):297-302
Arthroscopy of the knee joint was performed in 126 patients complaining of symptoms in the patello-femoral joint. in about one-third of these cases the arthroscopic findings in the patello-femoral joint were normal, whereas the remainder had varying degrees of chondromalacia or arthrosis. the classification of changes agreed well with an independent classification carried out in conjunction with surgery. in one-third of the cases there were additional findings which could explain the knee symptoms, more than half of these being degenerative changes reminiscent of an early gonarthrosis located in the femuro-tibial joint. There were no complications arising from the arthroscopy procedure which was well tolerated by the patients. It is concluded that arthroscopy is a helpful tool for differential diagnosis in patients with patello-femoral pain and for classification of degenerative changes in this joint. 相似文献
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《Acta orthopaedica》2013,84(2):273-277
Forty patients were reviewed 24 to 52 months after their second, third and fourth arthroplasty of the same hip. The protocol assessed pain, range of motion, leg shortening, gait performance, radiological appearance of the endoprosthesis and included the patient's own evaluation. Results of re arthroplasty were inferior to those of the primary procedure, but still good enough, both in the surgeon's and the patient's opinion, to be the method of choice for revision of a failed total hip replacement. 相似文献
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