west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "叶京兵" 3 results
  • IN SITU SUTURE REPAIR PROCEDURE OF KNEE DISLOCATION WITH MULTIPLE-LIGAMENT INJURY AT ACUTE STAGE

    Objective To investigate the method and the short term cl inical effectiveness of in situ suture repair procedure of knee dislocation with multi ple-l igament injury at acute stage. Methods From February 2006 to November 2007, 9 patients suffering from single knee closed dislocation with multi ple-ligament injury underwent open in situ suture repairprocedure with non-absorbable thread and managements of other combined injuries simultaneously. Nine patients included 6 males and 3 females, aged 34-52 years old. The injured knees were left side in 4 cases and right side in 5 cases. Injuries were caused by traffic accident in 8 cases and heavy-weight crushing in 1 case. EMRI and arthroscopic examination showed that all patients suffered from the avulsion injuries of anterior cruciate l igament and posterior cruciate l igament. The time from injury to operation was 4 to 7 days with an average of 5.1 days. Results No bacterial arthritis occurred after operation. Subcutaneous liquated fat occurred and cured after symptomatic treatment in 2 cases, other incisions healed by first intension. All patients were followed up 12 months. At 12 months postoperatively, 2 patients’ flexion range of the suffering knees lost 10° when to compared with normal knees, and the range of motion was from 0 to 125°. The Lysholm knee scores were 83-92 (average 86.3), the results were excellent in 3 cases and good in 6 cases. The posterior drawer test and anterior drawer test were one-degree positive in 3 cases respectively; the Lachman tests were one-degree positive in 5 cases, lateral stress tests were negative in all cases. Conclusion In situ suture repair procedure of knee dislocation with multi ple-ligament injury at acute stage has the advantages such as rel iable fixation, simultaneous management of other combined injuries and satisfactory short term effect.

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
  • 玻璃酸钠用于膝关节半月板损伤关节镜治疗术后近期疗效评价

    目的 评价玻璃酸钠应用于膝关节半月板损伤行关节镜半月板修整成型术后患者的近期疗效。 方法 2008年9月-2009年3月,共收治50例膝关节半月板损伤患者,男29例,女21例,年龄18~65岁。采用随机、对照方法将患者分为两组:试验组25例,为关节镜术后应用玻璃酸钠组;对照组25例,为关节镜术后空白对照组。随访时间3~6个月,无失访患者。两组治疗前后采用Lysholm评分对膝关节功能进行评定。 结果 随访发现两组术后关节症状均好转。两组术前和术后1周Lysholm评分差异无统计学意义(P≥0.05),两组术后2、3、4、5周Lysholm评分差异有统计学意义(P<0.05)。 结论 膝关节半月板损伤患者,行关节镜手术后应用玻璃酸钠,有利于其术后的康复。

    Release date: Export PDF Favorites Scan
  • ALLOGRAFT OSTEOCHONDRAL TRANSPLANTATION WITH ARTHROSCOPIC ASSISTANCE FOR REPAIR OF OSTEOCHONDRITIS DISSECANS

    Objective To evaluate the feasibil ity and effectiveness of allograft osteochondral transplantation with arthroscopic assistance for osteochondritis dissecans (OCD) associated with large osteochondral defects. Methods From January 2004 to May 2007, 13 patients with OCD with large osteochondral defects were treated. There were 7 males and 6 females, aged 18-59 years with an average of 35.8 years. The locations were left side in 8 cases and right side in 5 cases. The disease course was 7 days to 20 years with the median duration of 42 months. Four cases had obvious sprained history. The involved locations were lateral portion of the medial femur condyle (MFC) in 5 cases, thochlea area of MFC in 2 cases and lateral femur condyle in 6 cases. The range of motion was (95.0 ± 13.5)° and the Lysholm score was 62.23 ± 7.79. According to International Cartilage Repair Society classification system and the Guhl classification of OCD under arthroscopy, all the patients were type IV. Defect areas were 3-7 cm2 with an average of 4.32 cm2. The depths of defects were 0.8-2.0 cm with an average of 1.55 cm. Allograft osteochondral transplantation combining with adsorbable screw was appl ied for the lesions. The patients were closely instructed to do exercise through following up. Results The wounds all healed by first intention Thirteen cases were followed up for 2.2 years (14 months to 4 years) after operation. Three months after operation, 2 cases had pain after continuous exercise for 1 hour, they were directed in the methods of functional exercise and to strengthen their quadriceps femoris. Medicine was given in 2 patients who had sign of friction feel ing of joint 6 months after operation. The range of motion at the last follow-up was (137.0 ± 9.8)°, showing statistically significant difference when compared with that before operation (P lt; 0.05). The X-rays and EMRI examinations at following-up indicated that bone healed well and articular facet was integrity. The Lysholm score was 92.08 ± 7.64 one year after operation, showing statistically significant difference when compared with that before operation (P lt; 0.05). Conclusion Allograft osteochondral transplantation with arthroscopic assistance is a useful method in treatment of OCD with large osteochondral defects of the knees.

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content