DOC

Bone

By Audrey Peters,2014-07-06 08:43
12 views 0
Bone

    Bone

    witholdfractureofanteriorcolumncombinedwithfrac

    tureofsuperiorramu$ofpubis);andonec?ehadanterior

    columnfracturecombined,Il,itl1fracture0fwingofilitun. andthefemoralnervewasinjuredbytractioninopera

    tion.Clearanceofhema~,nervetractdecompression andepineuriasolutionwereperformedin5cases,and1 casewastreatedoo~.rvatively.Resultseaveragefol

    low-upperiodwas1.8years(rangingfrom1to3years). lemusclepowerofquadri08psfemorisrecoveredfrom1 ——

    2gradebeforeoperationto4——5gradeafteroperation

    .m5cases.Thefunctionof?出煳rkneeandgaitwas

    Ilc.,I1functionofsensoryaxnpletdyrecoveredin4 cases.Onec?ewasfollowedupfor2years.whichshowed thepatientstillsufferedfhypoesthesiainthelower2/ 3ofthethighandthemediaofthelag.One?seoftrac

    tioninjurywasfollowedfor1.2years,showingthe

    mllscIepowerrecoveredtonormal.butstillpresentedwith sensorydisability.ConclusionA08tabularfracturesasso

    datedwithfemoralnerve_mjuryare.Forcomplexac

    etabularfracturesand8eve~tratm~,a~entionshouldbe givetobepossibilityoffemoralnerveinjury.Fragment stabbingandcompressionofh~aatomaaroundiliopsoas musclearetheconln~oncaoffemoralnerve.mjuryfo1.

    1owingacetabularfractures.1atrogenic.mjuryshouldnotbe ~nored.10re/s,3figs.

(Authors)

    206573Useofcementlessacetaba_.!Jrcompomtand cemeatedfemoralcempon~tintotalhipmhr~imy/ DaiXues~(戴雪松,thopDept,2ndAffilHosp,

    SchoolMed,2hejiangUniv,}ngzhaI310009)//Chin

    JTrauma.20o6,22(8).59o--593

    Ol~iectiveToexamiiletheperformanceofthecorn

    binationofcementedstemnon-cementeda08tabularcupin ordertofindoutwhetherthehybridtotalhip~phsW waspre~erableforelderlypatientswithgenerallydeclined healthsmtusandpoorbonequality.Mefl~lsSeventy- fivepatients(84hips)werefollowedup,theaverageage was67.9yearsandthefollow-upwas4.1years.Among the75patients,therewere41dderlypatients(41hips) withacuteferaoralneckfracture,theaverageagewas72. 1years.Evaluationsoftheoutcom~ofhybridhiparthro- plastyincludedmorphologicfeatureofbone.qualityofce

    mentmande,implantstability,etc.ResultsNo~-nerlt- relateddeathbeforeandafteroperationwagfoundand systemicdiseasesdidriotdeteriorateperi-operatively.Ra

    diographiclowasfoundin2hipsonthefemoral

    side.?signs0fosteolysisorloceen~oilthea08tabular side.letotalHarrisHipSeominpatientswithferaoral neckfracturew8881.1.Thebonetypewa8evaluatedas TypeAin17hip(20%),TypaBin47(56%)andType C20(24%).Thequalityofcementmandeevalu

    ated?GradeAin31hip(37%),GradeBin40(48%)

    andGradeCin13(15%).OdliHybridtotalhip

    replacementb.ssgoodshort-termoutcomeandispreferred intheelderlywithacutefm~oralneckffa~ures.11leira-

mediatepostoperativestabilityenablesquickerrehabilita

    tionforelderlypatientsandlowerstheincidenceofcol'fl

    plications.Contemporarycementingtechniquesaremanda

    toryintheoperation.7refs,3.

    '

    (Authors)

    3.5Boneioint

    206574Arthroscopictreatmentofavelslonfractureof thettbialinteremdy~remtnelce~gLei(洪雷,Dept

    SpomMed,BeijingJi8}H_osp,Beijing100035)…?

    ChinJop.2006,26(8).513516

    Ol~ieetiveTodescribethe锄咀1rreductions

    andfixationoftibialintea~ndylarelT/inen08fracturewith eannulatedsc,^,8.Mdl~lsDIlngFebruary2oo3t0

    September2005,40patientsweretreated~cally forfractureofthetibia/intereondylarell'linen08.11aver

    ageagewas29.5years(1158years),withameanfol

    low-uptimeof20.1months(637months).Amongthe

    40patients,therewere4type?fractures(10%),24

    typeIlIfractures(60%)and12typeIVfractures (3O%).Thefratswerereducedandrixedwithcan

    nulated,scnw.l-mhroseopictechniquewagadoptedin allca3es.Thlehematomaandthefragmentweredebrided. andthebonyfragmentwasreducedandtemporarilyfixed with2——3guidewiresthroughtheportalsur~xxnedialto thepatella.Intra-operativeX-raywagtakentoprovethe

    ChinaMedicalAbstracts(Surgery)-2OO6-lS{4) reduction.Oneortwoeannulatedscrewswereusedtofix thefragmentasthedefinitefixation.ResultsTheffac-

    turehealedcompletelyinallbut1patient.Lachmantest werenegativeinallpatientspostoperatively.Theaverage postoperativeKT-1000manualmax~unldisplacement QD)was0.625IrllTl(12mm)andaverage

    Lysholmscore98.3points(87100points).The

    rangeofmotionwasnormalin34patients.Flexiondeficit wasfoundin5cases,butwithin10.Kneejointsiffness wasfoundinlcasewithrangeofextensionandflexion0

    30'_45..Asecondaryoperationwitharthroscopicrelease wasperformed.TheraF~eofextensionandflexionwas improvedto0..10..80.postoperatively.M_danteriorknee

    pairlswerefoundin8patients.For4youngpatientswith openepiphysis,thecannulatedscrewswerer~aoved10

    12weekspostoperation.Nogrowthdisturbancewasde- tectedforthese4patientsatfinalfollow-up.Conclusion ArthrosmpicfbcafionofthefinalintercondylarelTlinence withcannulatedscrewisasimple,safeandeffectiveproce

    duresuitableforbothchildrenandadultpatients.11refs, 4figs.

    (Authors)

    206575Arthroscopicreleasefortreatmentofthelimi- rationofelbowjointmotton/ChenGuangxing(陈光兴,

    CentreJointSung,SouthwestHosp,3rdMilMedUniv, Chongqing400038)//ChinJOrthop.2006,26(8).

    

    521524

    ectiveToevaluatetheindication,dinicalre

    sults,andprognosisafterarthroscopicreleasefortreatment ofthelimitationofelbowjointmotion.MethodsFrcxn December2003toMay2005,17elbowsin17patients

    weretreatedwithanarthroscopieprocedureforelbow contraeture.Allpatientshadtraumaasthecauseoflimita tionofelbowiointmotion.Previous.mjuriesincludedfixa. tionafterfractureoftheolecranon(7cases),elbowdido. cation(5c8ses),fractureoftheradialhead(2case),and brakingafterskingraftforburnofdbow(2Ises),one patientunder,^?taopensynovectomyforsynovitis.All

    patientswithdbowcontracturesunderwentthearthm. scopiccapsularreleaseandarthms~picdebridem~t.The osteopytesinthedeeranonandmedialorlateralepi

    condyleandloosebodieswereremoved,andfulldebfide- mentoffibroustissueinelbowwereperformed.Complete releaseofthecapsulewasnecessarytoregaingoodrune- tionalmotion.Postoperatiycarebeganfromgentleactive andpassiverangeofmotionofthedbowunderpatient controlledanalgesia(PcA).A?dhowswereassessedfor

    increaseinrangeofmotion(ROM)andMayoassessment beforeandaftersurgery.Scoreassessment:?90points,

    excellent;7589points,good;6074points,fair;<60

    points,bad.ResultsAtanaveragefollow-upof9.7 months(718months),aupatientshadincreasedmotion withimprovementto5?5.ofaveragemax~UlTlexten-

    sionand113.?21ofmaxiInulnflexion.ThemeaD.gainin extension?瑁S36.?19..andthemeangaininflexionw88

    28?18..PreoperationMayoassessment:good,3pa

    tients;fair,10;had,4.PostoperationMayoassessment:

    excellent,4;good,6;fair,6;bad,1.Therewasnoo(lpu

    cationinthisseriesexceptonepatientwithtransientulnar nervespalsy.ConclusionArthroscopicsurgeryappearsto hesatisfactorymanagementforelbowcontracttn~with

    lesssurgicalmorbidity,earlierrehabilitation,thepotential benefitsofimprovedjointvisualization.Arthroscopicre- leaseofelbowcontracturecanreliablyimprovetherange ofmotion,pmvidesahigherdegreeofpatientsatisfaction andisareasonablealternative.10refs,2figs. (Authors)

    206S76Isometricreconstructionofkneepesterolateral complex?Ithesemltendinosnstendon/ShiShiyuan(

    仕元,DeptOrthop,HangzhouRedCrossHosp,H8ngzh.11 310003)//ChinJOrthop.2006.26(8).525--528

    ObjectiveToexploretheisometricattachmentsite oftheposterolateralstructureinthefemorallateral condyleandintroducethemethodofkneeposterolateral complex(PLC)reconstructionwiththesemitendinosus tendon.MethodsIsometricreconstructionofthechronic PLCinjury,

    ofkneejointinl8cases,wereperformedwith

    thesemitendinosustendonfromFebruary2001toFebru

    ary2005.Ofallpatients,therewe,re12malesand6fe

    nudes,averageagewas39yearsold(range,1952years

-

    293?

    old).Ancaseswerechronicinjuries.withdurationof1.5

    14months.3easesweresimplePLCinjury.10eases werePLCinjurywithposteriorcruciate[igarnent(P(,L) ury,2ofwhichhadundergonePCLreconstruction about6.5months.3caseseombinedwithanteriorcruciate ligament(ACL)iniury.2casescombinedwithACLand

    Pinjury.Toputinthedoublesetnitendinosustendon fI'thebonytunnelofanatomicalinsertionofthefibular collateralligrnentincaputfibulaeandputoutfI'the

    bonytunndofanatomicalinsertionofthepopliterofibular li~_ntinthecaputfibulae,thenfixthemrespectivelyin theisometiclx~nyturme.1ofthefemorallateraleovxlyle. nleposterolateralstabilityofthekneewasevaluated mainlythroughexaminationvaI1lsinstabilityofkneeand externalrotationrangeofleg.ResultsItWaSrelatively isometricfnthefemoralattachmentsiteofthepopliteal tendontotheanatomicalinsertionofthepop~terofibular ligmentinthecaputfibulae.nlebetterisc~etricattach- meritsitewasfl'0mtheanatomicalcaputfibulaeattach~. meritsiteto8——10rtrl/ninfrontoftheanatomicalfemoral attachmentsiteofthelateralcollaterallig~nent.Theaver

    agefollow-upperiodwas14months(1224months).

    There,^,asnovarllskneeinstabilityinfullext~n.sion.At 30.flexion,one-gradeVB,I'I~instabilityWaSfoundin2.At 30'and90.flexion,externalrotationrangeincressedby6. -m3eases.remainedthesltznein14cases,anddecreasedin 1case.allcomparedwithtIlehealtIlyside.CORdlIBiOR nlemethodprovidedgoodstabilityforthekneeandac

    quiredsatisfactoryclinicalresults.11refs,2f.s,1tab.

    (Authors)

    2O6577Treatmentofoldilijllriesoftheeollat4nllip- meritoftheproximalinterp~joint/W~_gyUI

    xlong(翁雨雄,DeptHandSurg,UnionH.,TongiiMed

    Col,HuazhongUnivSciTechnol,Wuhan43OO22)…?

    ChinJHandSurg.2O06.22(4).232233

    ObjectiveTodiscussthetreatmentmethodsofold

injuriesofcollateral1igamentoftheproximalinterpha

    1angealjoint(PIP)andevaluatetheclinicaloutcome. MethodsFn1995to2005.17cases(18fingers)with oldinjuriesofcollateralligamentofthePIPjointwere treatedby~repairingthejointcapsuleandreconstructing thecollateral1igarnent.Postoperativefoflow-upranged fn2to7years,witIl81"1averageof4.3years.Results AccoraingtotheSaetta'scriteria,theexee~entandgood rate~rs.s94.496.Thefoflowing-upperiod,^s27

    years,averagev,as4.3years.ConclusionItisagood methodoftreatm~tforoldinjuriesofthecollateralliga

    merittorepairthejointcapsuleandreoonstructthecollat

    eralligament.3refs.

    (Authors)

    206578InflumeeofpreoperativeI"alllgeofmotionOn theearl},dlnlealOtlltCllllleoftotalklaeearthroplasty/Shi Mingguo(石明国,ArthritisClinicResCenter,PekingU

    nivPeopHosp,Beij~100044)…?ChinJSurg.

    2OO6,44(16).11011105

    Ot~eeUveToretrospectivelyanalyzetheinfluence ofpreoperativerangeofmotion(ROM)andmaximal flexiondegreeontheearlydinicaloutcomeoftoudknee arthroplasty(TKA).MethodsJanuary2000to

    December2003,97kneesof65patientsthatwereunder

    wenttotalkneearthroplastywithScorpiopo~terior-stabi

    lizedkneeprosthesiswerereviewed.Therewere55os

    teoathritispatients(8tk1ee8),and10rhetmuatoidarthri- tis(16k).Thirty-threepatientswereunderwentuni

    lateralTKA.32patientswereunderwentbilateralTKA. AccordingtothepreoperativeROMofknee,thesepatients

weredividedintotwogroups,one?90.(range.5.90)

    andtheother>90.(range,95'140.).Finallytheclini-

    caloutc~t,nesoftwogroups(indudeROM.maximalflex

    iondegree,KSSscoreandfunction~ore)wereevaluated. Threeclayslaterafteroperation,ec~ntinuouspassivemotion ()andactivefuncdonalexerciseofthekneewerebe. gun.andthewoundhealedwellinallpatients.Allthese operationswereprimarytotalkneearthropl~sty.Results 111epatientsvcl~refollowedupforaverage2years5 months(range,10monthsto3years8months).av- erageR0Mofkneewasimprovedto101.6.(range,40'

    140.)afteroperationf84.2.(range,5.140.)before

    operation(P:0.000);theaveragemaximalflexionde- gleeWaSdecIeasedfn103.5(range,25.140.)before

?

    294?

    operationto101.6.(range,40.140')afteroperation(P

    =0.439);KSSofkneejoiritWaSimprovedto78.8points afteroperation(Inge,5095points)from19.5points

    (2462points)beforeoperation(P=0.Ooo).There WS,SstatisticsUydiffem-~betweentheclinicalotlto~'nes (R0M,maximalflexiondegree,KSSSCOI'eandfunction score)inthetWOgroupsbeforeandafteroperation.Those kneeswithgoodpreoperativeRoMtendtoloseflexion. whilethosewithpOOl"preoperativeROMgainflexionafter TKA.Norevisionanddeepinfectionhappened.Condu- slonTKAisacomplexoperation,theclinicaloutoo~neof 11ismdydeterminedbythegoodoperationskill

abundantclinical口中elandthefamiliaritywiththe

    prosth~ofthesurgt~ll'1.AtthesameconditionssuchaS flamesurgeon,flameprosthesisandsamephysicaltherapy, properativegeofmotionofkneeinfluenceontheearly clinicaloutcomeoftotalkneearthropl~sty,kneesthathave goodp~tiveR0Mhavebetterclinicaloutcomes postopmdvelythanthose,Il,itl1poorpreoperativeROM. 23refs,3tabs.

    (Authors)

    206579Thelofaelo~l-slletiondrainintotalknee artll~lasty:aprospective,randomizedstludy/l'aoKun (陶坤,DeptOrthop,Char~hengHosp,Shang~

    200003)…?ChinJsurg.2006,44(16).1111

    1114

    ObjectiveTodeterminethevalueofusingaclo~l- suctiondraininan-nentedlmeearthroplasty.Metllods Onehundredpatientswerepro~tivelyrandomizedinto twogroul:~.onegroupunde,l'wentcementedtotalkneere

    plaammatwithasiw,ledeepdosed-suctiondrain.andthe othergroup(,l=50)110drain.ResultsThetotalblood lasswassignificandygreaterinthosewithadrainal- thoughh08ewithoutlostnK}rebloodintothedressings. ThereWSS110statisdcaldifferenceinthepostoperative swellingorrainscore,ecchymosis,deepveinthrompbo~ (DVT),timeatwhichflexionWaSregainedortheinci

    denceofinfectionataminimumoftwoyearsaftersurge.1=y inthetwogroups.ConelwionThereis1"1oevidenceto supporttheuseofadosed-suctiondrainince~nentedknee (Authors)

    206580Establishmentofarthl'oseoptctrans-septalap-

Report this document

For any questions or suggestions please email
cust-service@docsford.com