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功能锻炼对老年性股骨粗隆间骨折围手术期并发症的影响
INTRODUCTION The advantages of internal fixation of intertrochanter fracture of femur of the aged has been achieved common knowledge by domestic and abroad scholars.But because of many complications,diminution of viscera function,high risk of operation,especially occurrence of complications before and after operation,the result often is severe.
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功能锻炼促进股骨下端骨折术后膝关节功能恢复 36例
BACKGROUND:Fracture of lower part of femur is very common.Anatomic character is spongy bone at condyle with thin cortex and lower part is cortex which axis isn't vertical with axis of knee joint.Due to traction,angulation transposition of condyleis often caused after fracture that will injure popliteal vessels.So,it is difficult to achieve ideal reposition by closed manipulation rediction.Common steal plate in open reduction can't achieve reliable internal fixation that must be combined with long- term external fixation, often leads to adhesion of knee extension apparatus and needs a secondary relax causing patients' pain.
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腰椎管狭窄内固定术后功能锻炼32例报告
BACKGROUND: The aim of internal fixation of lumbar vertebral canal is to restore function early and in maximal degree and postoperative function exercise is an effective method to ensure it.
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髌骨骨折关节镜下闭合复位内固定术后的康复训练
INTRODUCTIONClosed reduction internal fixation under arthroscope is performed from August, 2000 to April, 2001 and advanced domestic and foreign rehabilitation programs are combined to treat fracture of patella comprehensively, satisfying effects are achieved.
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腰椎滑脱椎体间植骨固定术后的康复指导
BACKGROUND:Internal fixation of lumbral spondylolisthesis has resolved the problem caused by vertebral translocation and postoperative rehabilitation instruction can prevent moving of bone.Directed to different stages,suitable posture and rehabilitation function exercises can effectively prevent loose intervertebral grafted bone and adhesion of nerve root.
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陈旧性髌骨骨折后功能锻炼促进膝关节功能恢复
RACKGROUND: The main aim for treatment of fracture of patella is to restore contnuity of knee joint extension apparatus and anatomic reduction of knee joint, avoid occurrence of traumatic arthritis. Problems in treatment of old comminuted fracture of patella are the same with fresh fracture that has been agreed on in recenl years. Except serious comminuted fracture of patella can' t be reserved, removal of patella shouldn' t be performed to others. Orthopaedics Hospital of Shenyang city thinks that the ideal method is relax of knee extension apparatus, reduction of fracture, strong internal fixation and early postoperative function exercises.
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髓内钉并术后功能锻炼治疗四肢骨折
BACKGROUND:Despite of cooperative effect of internal fixation and exopexy,the treatment of extremities fracture is often complicated with nonunion and some other conditions.The reasons causing that have multiple factors,of which unsystematic rehabilitation treatment after treatment of extremities fracture with intramedullary nail.
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双头螺纹加压钉内固定术后康复训练治疗老年股骨颈骨折
Backgroud:It is troublesome to treat senile femoral neck fracture.The main complications are un-healing of bone and necrosis of femoral head.
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螺纹针内固定术后中药康复治疗股骨颈骨折
Background:Femoral neck fracture is one of common and severe injury in old people. We utilize transcutaneous Screw thread needle internal fixation treat it, cooperated with Chinese medicine treatment, and gained good effects.
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髌骨骨折聚髌器内固定术后早期功能锻炼疗效观察
Backgrand: After incision,correction and internal fixation with Kirschner pins and steel pins, many patients has been observed to have joints dysfunction even rigidity after the elimination of more than 4 weeks knee's extention movement under outer fixation protection which is necessary. Unit: Red Cross Hospital of Jingjiang City.
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解剖型股骨粗隆锁定钩板内固定系统治疗老年性股骨粗隆间骨折患者的术后护理
老年性股骨粗隆间骨折是临床常见的髋部骨折之一.由于老年患者骨质疏松且多为不稳定性骨折,目前各种内固定的稳定性有限,术后临床护理工作繁重,早期功能锻炼不当易产生内固定松动、骨折再移位等并发症.而患肢制动时间太长又易产生骨折病、下肢深静脉血栓形成、坠积性肺炎、泌尿系统感染及压疮等[1],因此提高内固定的稳定性是术后护理质量的关键.2006年以来我院骨科应用解剖型股骨粗隆锁定钩板内固定系统(anatomy type locked hook-plate internal fixation system,LHP)治疗老年性股骨粗隆间骨折18例,对于早期护理和预防各种并发症效果优良,现报道如下.
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坚强内固定技术在颌骨骨折治疗中的评价
颌面骨折是常见的颌面部损伤,以往多采用单颌结扎固定,颌间牵引固定,切开钢丝内固定和小钢板内固定术等治疗方法,均收到良好效果,但也存在着固定时间长、进食受限、口腔卫生差、固定稳定性差,需二次手术取除内固定装置等若干问题,作者自1997年开始应坚强内固定术(rigid internal fixation,RIF)治疗颌面部骨折80例获得满意效果,克服了以上弊端,现就其方法报告如下,并就有关问题进行讨论.
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颌骨外科与AO内固定新进展--AO内固定理论和技术系统
1AO/ASIF--国际内固定研究协会该组织成立于1958年,简称AO(Arbeitsge-meinschaft fur Osteosynthesesfragen) /ASIF (Association for the Study of Internal Fixation),下设研究、教育、信息、基金和技术发展五个管理机构,核心任务是协调国际研究、组织临床协作,发展内固定技术,传播AO/ASIF教育.
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关于Rigid Internal Fixation一词译法和应用的说明
关于Rigid Interal Fixation(RIF)一词,国内有"坚强内固定"、"坚固内固定"、"坚硬内固定"等不同译法,在学术交流中颇感不便.贵刊近的一期也对这个问题有比较明确的反映[1],似乎主张使用"坚固内固定".为此,我作为本刊编委也陈述自己的意见.
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Ⅰ期后路经椎弓根病灶清除及后路内固定治疗胸腰椎结核
脊柱结核是常见的椎外结核形式,是一种严重的脊柱疾病,常常导致神经功能的障碍、脊柱后凸畸形甚至瘫痪.对于大多数的脊柱结核,用抗结核药行保守治疗及外固定脊柱制动是首选的方法[1-2].对于脊柱结核的手术治疗,目前普遍认为是行前路彻底的清创及脊柱的重建[3-5].
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合成树脂人工骨内固定在创伤不稳定胸壁的临床应用
胸部创伤致多根、多处肋骨骨折,因不稳定胸壁导致呼吸循环病理生理改变而引发呼吸与循环功能障碍.采用内固定器械进行手术内固定,急诊纠正连枷胸越来越倾向于操作简单和微创化操作[1].本院于2004年至2007年采用合成树脂人工骨经"听三角"后外侧切口做内固定治疗多根、多处肋骨骨折所致的创伤性不稳定胸壁计17例,取得满意的临床效果.现报道如下.
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肩峰肱骨头相对位置评分及其在肱骨近端骨折内固定术的应用
肱骨近端骨折占全身骨折的5%,近年来已有各种内固定方法治疗肱骨近端骨折的报道[1-3],但内固定手术后肩关节功能的恢复一直是困扰临床的难题[4].自2006年1月至2008年2月,作者收治肱骨近端骨折29例,通过观察健侧肩峰与肱骨头的相对位置,指导切开复位内固定手术中锁定加压接骨板(10ckingproxmial humems plate fixation,LPHP)置放,避免术后肩峰撞击,获得满意疗效.
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围手术期治疗对跟骨骨折内固定切口愈合的影响
跟骨骨折是常见的跗骨骨折,占跗骨骨折的60%,占全身骨折的2%,75%为关节内骨折.对于移位的关节内骨折,切复内固定被证实为有效的治疗方法,平均优良率达70%～92%.
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钢丝环扎加张力带内固定治疗髌骨骨折
髌骨骨折为骨科常见病,对髌骨骨折手术术式较多.本院从1997年1月至2001年12月,对50例髌骨骨折采用钢丝环扎加张力带内固定治疗,取得良好效果,现报告如下.资料与方法1.一般资料:男36例,女14例.年龄21～79岁,平均46.3岁.损伤原因多为车祸或跌伤.骨折类型:横形骨折21例,粉碎性骨折27例,纵形骨折2例,上下极撕脱骨折不属该手术固定范围.
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骨折术后髓内针弯曲畸形的石膏矫形
髓内针被广泛用于长骨骨折,尤其是股骨干骨折复位,但术后弯针畸形伴延迟愈合等并发症并不鲜见,常需再次手术.我院于1988年2月～1998年2月收治股骨干骨折术后弯针畸形病人13例,占同期髓内针内固定病人的3%.我们应用数学计算指导石膏矫形方法矫正,疗效满意.
