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151.
Shinichiro Iwata Yasunori Suda Takeo Nagura Hideo Matsumoto Toshiro Otani Yoshiaki Toyama 《Knee surgery, sports traumatology, arthroscopy》2007,15(4):343-349
The purpose of this study is to evaluate the relationship between the magnitude of knee laxity and posterior instability at
different knee flexion angles and clinical disability in isolated posterior cruciate ligament (PCL) deficient patients. Knee
laxity at 20° and 70° of knee flexion were evaluated using KT-2000 arthrometer, and the posterior instability at 20°, 45°
and 90° of flexion were evaluated using stress radiography. We assessed the differences in the knee laxity and the tibial
translation between isolated PCL deficient knees and normal knees, and between the patients with giving-way during activities
of daily living (ADL) and without giving-way. There were statistical differences in the knee laxity and the tibial translation
at all knee flexion angles between the PCL deficient knees and normal knees. The magnitude of the knee laxity at 20° of flexion
measured with KT-2000 arthrometer was significantly larger in the patients with giving-way than those in the patients without
giving-way although there was no significant difference in the tibial translation at 70° between the two groups. The tibial
translation in both medial and lateral compartments at 20° and 45° measured with stress radiography were significantly larger
in the patients with giving-way than those in the patients without giving-way although there was not significant difference
at 90° between the two groups. These results suggested that the magnitude of the knee laxity and the posterior tibial translation
at shallow knee flexion angles would be related to giving-way during ADL in isolated PCL deficient patients. 相似文献
152.
后路单节段椎弓根钉复位固定治疗创伤性胸腰椎骨折 总被引:5,自引:0,他引:5
目的探讨用后路单节段椎弓根钉复位固定治疗胸腰椎骨折的可行性和疗效。方法2003年9月-2006年10月,我科共行单节段椎弓根钉骨折椎固定复位治疗胸腰骨折患者70例,其中男50例,女20例;平均年龄39、7岁。骨折按A0分类法分型:A型54例,B型16例。术中将两对椎弓根钉置入骨折椎与相邻正常椎中,复位固定,原位取骨行椎间关节融合。结果手术用时平均87min,术中出血量平均165ml,切121长度7~10cm。46例获得1年以上随访,平均随访时间18.6个月(12—35个月),无一例内固定断裂或松动,全部获得骨性融合。术中及术后骨折椎的椎体压缩程度和节段后凸角度与术前相比明显改善(P〈0.01),且术后3,6和12个月骨折椎椎体压缩程度和节段后凸角度的纠正与术中相比无明显丢失(P〉0.05)。结论经骨折椎单椎间复位固定融合术治疗胸腰椎骨折创伤小,脊椎运动功能单位的丢失更少且不易发生内固定松动或折损,可用于多数胸腰椎骨折。 相似文献
153.
F. Oner L. Ramos R. Simmermacher P. Kingma C. Diekerhof W. Dhert A. Verbout 《European spine journal》2002,11(3):235-245
Reproducibility of fracture classification systems in general has been a matter of controversy. The reproducibility of spinal fracture classifications has not been sufficiently studied. We studied the inter-observer and intra-observer reproducibility of the Magerl (AO) classification using radiograms, CTs and MRIs of 53 patients. We compared this classification with the older and simpler Denis classification. Five observers classified the fractures, first using the radiograms and CTs and, 6 weeks later, with radiograms and MRIs. Three of the observers repeated the readings after 3 months. Three observers also classified the fractures according to Denis. Agreement was measured using Cohen's kappa test. The type (A, B, C) classification of the AO system was fairly reproducible with CTs. With MRI this was only moderate. Group subclassification of the types yielded higher kappa values, corresponding to substantial agreement. The agreement was, in general, better with the Denis classification, but the variance was higher due to the difficulty of finding proper categories for some injury patterns. Although the AO classification allows proper registration of all kinds of injury, the reproducibility, especially at the type level, is problematic. Use of MRI and better definition of the distinctive properties of the three different types may enhance the reproducibility of the scheme. 相似文献
154.
用酒精兔胎骨混悬液为植骨材料,以兔双侧桡骨中段3mm宽骨缺损横断骨折及肱三头肌为动物模型,通过注射将骨植入实验侧骨折端及肌肉内,对侧注入等量生理盐水作自身对照。术后进行免疫学、放射学、组织学及生物力学检查,结果表明:植骨不引起明显免疫排斥反应;植骨侧新骨形成多,骨折愈合快,抗弯应力强度大;肌内诱导成骨明显。酒精胎骨混悬液注射移植是一种简而有效的植骨材料和方法。 相似文献
155.
目的 :探讨胫腓骨远端骨折治疗术式的选择、术中术后应注意的问题及其疗效。方法 :对不同类型的胫腓骨远端骨折 36例进行 8~ 18个月的随访 ,并结合临床及影像学资料 ,对其诊断、手术方法及治疗效果进行分析总结。结果 :本组术后 2 5~ 3 5个月骨折均愈合。踝关节功能优良率 77 7%。结论 :熟悉骨折的分型及相应内固定术式的选择 ;注重踝穴骨折的解剖复位及固定和踝关节的功能位固定及早期功能锻炼。 相似文献
156.
157.
股骨粗隆间骨折是多发于老年人的一种常见骨折类型。患者高龄 ,多有明显的骨质疏松 ,愈后常遗留有髋内翻 ,下肢外旋及短缩畸形。非手术治疗时间长 ,患者长期卧床 ,易出现各种并发症造成治疗和康复困难。作者参照AO组织推荐的方法自 1996年5月 - 2 0 0 0年 12月在我院采用切开复位和闭合复位DHS内固定的方法治疗股骨粗隆间骨折患者 37例 ,取得良好的疗效。1 临床资料本组 37例 ,男 16例 ,女 2 1例 ;年龄 4 8~ 86岁 ,平均 69 4岁。右侧 18例 ,左侧 19例。根据股骨内侧骨皮质的状态 (Evans分型 ) ,即能支撑近端的股骨距是否完整 ,… 相似文献
158.
159.
Robson Frederico Cunha Daniela Maria Carvalho Pugliesi Célio Percinoto 《Dental traumatology》2007,23(6):360-363
This retrospective study examined some different types of treatment to primary teeth. The aim of this study was to assess the treatment of traumatized primary teeth and the importance of a long-term follow up. Brazilian children in the age group of 1-4 years from a baby clinic took part in the study. Three hundred and fifteen patients suffered some type of traumatic injury, a total of 338 affected teeth. Data were registered in specific records and submitted to statistic analysis. The most prevalent type of treatment was monitor only (85%) followed by tooth extraction and endodontic procedure. Invasive treatments were performed in case of severe traumas, usually 6 months after the injury. We verified that a careful follow up might be the preferential choice to the treatment of traumatic primary teeth even in some severe cases. 相似文献
160.
人正常下颌升支区应力分布的三维有限元法分析 总被引:3,自引:0,他引:3
目的:对正常人下颌升支在不同咀嚼力作用时应力分布情况进行三维有限元分析。方法:采用三维有限元应力分析的方法,对正常离体人下颌升支在不同加载条件下的应力分布特征进行对比定量分析。结果:(1)所有载荷形式的各种应力值,随着单元距加载点的距离的增大,其应力值相对减小。(2)下颌骨下颌角、升支后缘的应力梯度变化较大。结论:下颌骨下颌角、升支后缘是应力相对集中的区域,也是临床上常见的下颌骨骨折区,同时还是下颌升支矢状骨劈开术后加强固定以及防止骨段移位的区域。 相似文献