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罗羿轩 《岳阳职业技术学院学报》2011,26(4):76-78
目的研究镍钛聚髌器治疗髌骨粉碎性骨折的疗效。方法采用镍钛聚髌器术治疗髌骨粉碎性骨折38例,采用克氏针+钢丝环扎术治疗52例。结果随访7-18个月,平均12个月,90例均获骨性愈合,膝关节功能正常。功能疗效评估采用胥少汀等的膝关节功能综合评价标准,镍钛聚髌器组优34例,良3例,中1例;克氏针+钢丝环扎组优35例,良13例,中4例。结论利用镍钛聚髌器内固定治疗髌骨粉碎性骨折有着操作简单、复位满意、固定稳定,可早期功能锻炼等特点,其优良率显著高于克氏针+钢丝环扎法。 相似文献
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目的:探讨采用双钢板内固定法,治疗肱骨髁间粉碎性骨折的手术要点并对其疗效进行评估.方法:14例肱骨髁间骨折患者,AO分型C1:7例C2:4例C3:3例.采用尺骨鹰嘴截骨暴露骨折端;开放复位双钢板垂直放置固定肱骨内外侧柱;根据情况前置尺神经;克氏针张力带固定鹰嘴截骨.结果:全部病例随访5-23个月.未发生切口感染;截骨处均骨性愈合;两例患者出现克氏针退针;两例出现骨化性肌炎;无迟发性神经损伤病例;肘关节活动度85-120度,平均102度;按照Cassebaum评分优5例、良7例、可1例、差1例.结论:双钢板法固定是治疗肱骨髁间粉碎性骨折较好的手术方法,具有固定牢固,骨折治愈率高等优点. 相似文献
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张歆 《河北北方学院学报(医学版)》2004,21(1):70-71
目的:观察内侧解剖钢板联合组合式外固定治疗胫骨近端粉碎骨折的疗效,并探讨影响该手术疗效的因素.方法:随访调本院自1998～2002年采用内侧解剖钢板联合组合式外固定治疗的胫骨近端粉碎骨折患者56例,根据骨折愈合时间、术后膝关节的活动情况进行综合疗效评定.结果:56例患者中随访10月～3年,本组中优32例,良15例,可5例,差4例;49例骨折均达到解剖复位;平均骨折愈合时间为2～4个月.4例疗效差者1例感染,1例延迟愈合,2例关节僵直.结论:内侧解剖钢板联合组合式外固定治疗胫骨近端粉碎骨折手术创伤小、符合胫骨近端的生物力学结构,该手术是治疗近端粉碎骨折的有效方法. 相似文献
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髌骨粉碎性骨折在治疗上一直是个难题,目前各种治疗方法均不理想,而髌骨切除对膝关节的功能又有一定影响。我院自1989年以来对39例严重粉碎性髌骨骨折,采用硅胶弹性带环扎内固定治疗,取得了效果,从根本上解决了髌骨粉碎骨折治疗难的问题,避免了髌骨切除,值得推广,特将手术治疗护理配合介绍如 相似文献
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双侧入路双钢板固定治疗肱骨髁间骨折19例临床分析 总被引：1，自引：0，他引：1
目的:探讨双侧入路双钢板固定治疗肱骨髁间骨折的手术入路及手术效果.方法:经肱三头肌两侧入路,双钢板固定肱骨髁间骨折.结果:19例患者随访6～28个月,(平均13个月),骨折均愈合,优15例,良3例,中1例,差0例.优良率94.7%.结论:经肱三头肌两侧入路,用加双钢板固定肱骨髁间骨折,因不损伤伸肘装置且内固定可靠,可以早期行功能锻炼,促进骨折愈合,尽快恢复肘关节功能. 相似文献
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李铁松 《河北北方学院学报(医学版)》2000,(2)
目的 分析股骨远端骨折手术治病的特点及效果评价。方法 开放性骨折先清创,然后按闭合骨析方法手术,对股骨髁部粉碎性骨折先固定内外髁,然后再与股骨干固定,主要选用“L”型及梯形铜板为内固定物。结果 本组16例骨析全部愈合,解剖及近解剖复位14例,屈膝>70者占75％。结论 股骨远端骨折多需手术坚强内固定,早期功能锻炼,避免膝关节屈曲障碍。 相似文献
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《学周刊C版》2017,(16):64-65
目的:探讨锁定钢板内固定术联合自体骨移植术治疗老年肱骨近端粉碎性骨折患者的临床疗效,分析该联合治疗的临床应用价值。方法:选取2013年1月-2016年1月本院就诊的84例老年肱骨近端粉碎性骨折患者,采用随机数字表分为对照组和观察组两组,每组42例。其中对照组采用单纯的锁定钢板螺钉内固定术,而观察组患者则是采用取锁定钢板内固定术联合自体骨移植的手术方案,比较两组患者的手术疗效、骨折愈合时间、术后颈干角、末次颈干角,并在末次随访时评估两组患者的肩关节Constant评分。结果:疗效比较中,对照组患者术后优良率为71.43%(30/42),低于观察组95.24%(40/42),差异有统计学意义(P<0.05);术后骨折愈合时间对比中,观察组患者的骨折愈合时间为(10.7±2.5)周,对照组为(15.1±4.3)周,差异有统计学意义(P<0.05);观察组肩关节Constant评分为(82.4±8.5)分,明显高于对照组的(70.3±4.8)分,差异有统计学意义(P<0.05);比较两组患者术后的肩关节活动情况,发现观察组患者的外旋、内旋、外展、前屈活动度要明显均优于对照组,差异均有统计学意义(P<0.05)。结论:采用锁定钢板内固定并联合自体骨移植手术方案,可以有效提高对老年肱骨近端粉碎性骨折患者的手术效果,缩短骨折愈合时间,改善患者肩关节的活动度,值得临床推广。 相似文献
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疏松性下肢骨折的内固定治疗 总被引：1，自引：0，他引：1
随着人类寿命延长及老年人活动增多,骨折疏松性下肢骨折的临床发生率逐步增高。治疗不能单纯满足于骨折的解剖复位,应力求恢复其原有功能,由于骨质疏松性骨折所具有的骨折粉碎程度高、手术复位困难、术后内固定易松动等特点,骨质疏松性下肢脆性骨折一直是临床治疗中的难点。内固定物在疏松骨质中把持力降低及老年和骨质疏松患者骨愈合能力相对较差是制约肢体功能恢复的主要瓶颈。应把增强骨折端内固定术后的稳定性及进行早期有效的功能锻炼作为治疗的关键。本文回顾了相关文献,对下肢骨质疏松性骨折的内固定材料、内固定的理念及改良与临床疗效进行综述。 相似文献
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肱骨髁间骨折是肘关节的一种严重的关节内骨折,约占肘部骨折的10％～15％。主要由高能量损伤引起,成年人多表现为粉碎性骨折,过去由于缺乏良好的暴露及有效的内固定方法常造成肘关节功能障碍、畸形愈合,故早期治疗趋于保守。近年来,随着手术方法改进,内固定器械的发展,多趋向于对其及早行切开复位,牢固内固定,术后早期进行积极的关节功能锻炼。2001年7月～2006年6月,我们采用双钢板法治疗肱骨髁间粉碎骨折23例,疗效满意,现报道如下。 相似文献
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赵靖宇 《楚雄师范学院学报》2010,25(9)
目的:探讨交锁髓内钉治疗股骨骨折的方法和疗效.方法:对30例股骨干骨折采用交锁髓内钉内固定.结果:随访6-26个月,平均13个月,骨折全部愈合,无锁钉及髓内钉松动,断裂,无感染.结论:交锁髓内钉在治疗股骨骨折中具有创伤小,骨折愈合率高,操作简单,感染率低等优点,是一种较好的内固定方法. 相似文献
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《海外英语》2007,(5):10-11
Many college freshmen arrive woefully unprepared to do college work, and as disadvantaged populations continue to grow, the share of the American work force that has made it through college is expected to plummet. Many experts blame that educational failure not just on high schools but also on colleges. School & College, a special report by The Chronicle, looks at efforts to fix the system. What reforms would better prepare students for college? What should schools and colleges be doing differently? How should state and federal officials help? 相似文献
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《海外英语》2007,(4):36
There are numbers of crossroads on our long and unpredictable life journey where we totally have no idea about which direction to choose. No matter what our decision is, we should not turn back, but face the music and go ahead instead. I am this kind of girl who always does try without regretting, one example is how I dealt with my love. 相似文献
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Migration occurs behind a variety of reasons and has a great effect on the whole world. People may migrate in order to improve their economic situation, or in order to escape civil strife, persecution, and environmental disasters. The impact of migration is complex, bringing both benefits anddisadvantages. This paper briefly talks about the causes of migration, the allocation of benefits, and the ways in which individual countries and the international community deal with this important subject. 相似文献
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Sister Carrie is one of the most controversial characters in American literature.Thought as a "fallen woman" firstly,she was defined as a "new woman" by some critics later. However, by digging into the motivaton behind the whole process of Carrie's "success", the relationship between Carrie and her creator (the author), the social conditions of then American, it can be found that Carrie has never been free-standing on her thought and she has never found her real-sdf even after becoming a famous actress. In a society dominated by mass consumerism Carrie is only an adherent of her own desires. She also is a representative of all those country girls flooded into cities, a symbol and a sacrifice of the urbanization of America in a time countryside was overcome by cities. 相似文献
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RUZBEHANI Mohsen 《重庆大学学报(英文版)》2004,3(1):20-25
1.IntroductionOne-cyclecontrolmethod,whichwasproposedaboutonedecadeago[1],hasbecomeanattractivemethodinspecialfieldssuchaspowerfactorcorrection[2-6],switchingamplifiers[7,8],etc.Themainideaofthiscontrollerisbasedonintegrationofdiodevoltageinone-cycleandforcesittobeexactlyequaltothereferencevalue.Themainadvantageofthiscontrollerisitsrealtimeabilitytorejectthevariationofinputvoltage[1].Despitethisgreatability,ithasnogoodperformancesinrejectingofloaddisturbanceandfollowingreferencecommands.Espec… 相似文献
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唐芳 《读与写:教育教学刊》2008,5(6)
During interview with English majors, it was found that a majority of students expressed disappointment with their experience of English literature classes. Students' dislike of learning English literature appears to be the major problem of teaching English literature in China. Reader response approach is a good way to solve this problem. In this paper, I explain the rationale behind the reader response approach, such as its origin, definition, features, assumptions, and strategies. Then I illustrate how reader response approach works as a teaching strategy by presenting several teaching models. At last I evaluate its usefuiness for teachers and present the advantages of reader response approach in Chinese context. 相似文献