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肱骨近端骨折治疗常以内外固定为主,往往制约了肩关节的活动,在治疗中进行系统的康复训练,对患者的功能恢复产生了积极的影响。国外文献也有报道对此患者已开展了系统的康复治疗。 相似文献
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目的探讨关节镜辅助下成人胫骨髁间棘骨折的微创治疗。方法在2006年1月至2008年5月期间共完成关节镜下成人胫骨髁间棘骨折修复固定22例,其中男12例,女10例;新鲜骨折18例,陈旧性骨折4例;按Meyers—McKeever骨折分型:Ⅱ型8例,Ⅲ型14例。22例骨折全部在关节镜下应用钢丝缝合固定。术后进行系统化的患肢康复训练,包括主动和被动伸屈关节(ROM),髌骨推移锻炼,进行股四头肌、胭绳肌、小腿肌的肌力锻炼,以及患膝的本体感觉训练。结果术后6个月对所有患者均进行随访和康复指导,并进行放射学和,临床评估。放射学检查:术后8周,所有患者的骨折均获得骨性愈合;术后6个月所有患者患膝活动范围均达到了健侧水平,无疼痛症状;4例患者患膝关节有轻微的慢性肿胀。HSS膝关节临床功能评分:优18例,良4例。结论关节镜下钢丝缝合固定治疗胫骨髁间棘骨折具有手术创伤小、操作简便、固定可靠、术后康复快、并发症少等优点,同时可以发现并治疗关节内合并伤,能够最大程度恢复膝关节功能。 相似文献
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目的探讨掌侧锁定加压钢板(LCP)结合Kapandji技术治疗不稳定型Colles骨折的方法及其效果。方法回顾性分析掌侧LCP结合Kapandji技术治疗的12例Colles骨折患者,比较手术前后掌倾角、尺偏角、关节面塌陷、桡骨短缩及关节功能等,初步评价其,临床疗效。结果经随访9—24个月(平均17个月),本组患者术后掌倾角、尺偏角、关节面塌陷、桡骨短缩均获明显改善,桡骨远端影像学评估采用Stewart改良的Sarmiento评分,其中优9例,良3例;腕关节功能采用Gartland—Werley功能评分,其中优2例,良7例,可3例。结论对不稳定型Colles骨折,掌侧LCP结合Kapandji技术是一种安全有效的治疗方法,可有效防止复位丢失,减少结构性植骨,允许早期关节活动,避免对肌腱激惹等并发症。 相似文献
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BACKGROUND: Matrix metalloproteinase-13 is most active in the degradation of collagen type II in the extracellular matrix of cartilage. Interleukin-1 (IL-1) is thought to be the inducer of matrix metalloproteinases, and participates in the degradation and degeneration of articular cartilage.
OBJECTIVE: To study the influence of IL-1β on microRNA-27b (miR-27b) and matrix metalloproteinase-13 expression of chondrocytes in rats.
METHODS: Chondrocytes isolated from seven male Wistar rats were cultured and divided into IL-1β stimulation group and control group. No stimulus was given in the control group; 10 μg/L of serum free medium was used to culture rat chondrocytes in the IL-1β stimulation group. Cell growth was observed at 0, 24, and 48 hours under an inverted microscope. miR-27b and matrix metalloproteinase-13 expression in the cultured chondrocytes were detected.
RESULTS AND CONCLUSION:The relative expression of matrix metalloproteinase-13 in rat chondrocytes was gradually increased when induced by IL-1β at 0, 24, and 48 hours (P < 0.05). Expression of miR-27b and miR-31 in rat chondrocytes at 24 and 48 hours induced by IL-1β gradually decreased (P < 0.05); conversely, expression of MiR-26a, miR-26b, miR-23, and miR-204 gradually increased (P < 0.05). After 48 hours of IL-1β induction, expression of miR-27b was the lowest in rat chondrocytes (P < 0.05). These findings suggest that IL-1β inhibits miR-27b expression, strengthens the expression of matrix metalloproteinase-13, and damages chondrocytes, contributing to both the onset and progression of osteoarthritis.
中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程 相似文献
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目的探讨3D打印技术治疗复杂胫骨平台骨折的临床价值。方法收集我院复杂胫骨平台骨折的患者,根据患者手术类型分为:研究组(在3D技术下进行手术)和对照组(采取常规手术方法)。记录两组患者手术相关指标及术后恢复状况及并发症发生情况。结果研究组手术时间、术中出血量、手术切口长度小于对照组,差异有统计学意义(P0.05);研究组术后并发症发生情况低于对照组,差异有统计学意义(P0.05);研究组术后膝关节功能HSS评分明显高于对照组,差异有统计学意义(P0.05)。结论与传统手术相比,3D技术治疗复杂胫骨平台骨折可以减少手术创伤及出血量,加快术后膝关节的功能恢复。 相似文献