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

Search

find Author "姚建华" 3 results
  • 手术治疗小儿先天性胫骨假关节疗效分析

    目的 总结手术治疗小儿先天性胫骨假关节的方法及疗效。 方法 1993 年1 月- 2003 年12 月,收治12 例先天性胫骨假关节患儿。男9 例,女3 例;年龄2 ~ 10 岁,平均5 岁。左侧7 例,右侧5 例。除既往于外院采用游离贴附植骨术治疗失败2 例分型不明外,其余10 例根据Boyd 分型:Ⅱ型7 例,Ⅲ型2 例,Ⅳ型1 例。术中采用病灶清除、同侧带肌蒂腓骨贴附结合肋骨或对侧腓骨植骨、螺钉内固定辅以管型石膏外固定治疗。 结果 术后切口均Ⅰ 期愈合。1 例术后4 周发生石膏浅表压疮,更换下肢支具并换药后愈合。患儿均获随访,随访时间5.5 ~ 7.0 年,平均6.3 年。X 线片示术后平均6.7 个月假关节均愈合。术后2 个月1 例出现向前成角畸形,经手术纠正后愈合。末次随访时,患肢较健侧平均短缩1.8 cm,较术前平均短缩2.6 cm 明显改善。患肢膝、踝关节活动良好。 结论 病灶清除、同侧带肌蒂腓骨贴附结合肋骨或对侧腓骨植骨、螺钉内固定辅以管型石膏外固定治疗小儿先天性胫骨假关节手术操作简便,可避免较大创伤,且术后并发症少。

    Release date:2016-09-01 09:04 Export PDF Favorites Scan
  • Patellar Resurfacing versus Non-resurfacing in Totol Knee Arthroplasty: A Systematic Review

    Objective To compare the treatment effect of patellar resurfacing versus patellar non-resurfacing in total knee arthroplasty. Methods We identified eligible studies in PubMed (1950 to 2008.6), OVID MEDLINE (1950 to 2008.6), OVID CINAHL (1950 to 2008.6), OVID EBM (2nd Quarter 2008), CBMdisk (1978 to 2008.6), and CNKI (1981 to 2008.6), and handsearched some Chinese orthopedic journals to identified randomize controlled trials (RCTs) comparing patellar resurfacing versus patellar non-resurfacing in total knee arthroplasty. Data were extracted and methodological quality was critically assessed by two reviewers independently. Meta-analyses were performed using Stata 10.0 software. Outcomes of interest included the number of reoperations for patellofemoral problems, the prevalence of postoperative anterior knee pain, and the improvement in HSS knee score. Results Thirteen RCTs involving 1 566 patients were included. The scores of methodological quality respectively were more than 13. The results of meta-analyses showed that patellar resurfacing could decrease the re-operation rate for patellofemoral problems (RR=0.30, 95%CI 0.14 to 0.62, Plt;0.01). The rate of postoperative anterior knee pain and the improvement in HSS knee score were comparable between patellar resurfacing and patellar non-resurfacing. Conclusion The outcome identified is re-operations for patellofemoral problems. The resurfaced patella performs better, and we find an increased relative risk for re-operation when the patella is left un-resurfaced. No differences are observed between the two groups for the prevalence of postoperative anterior knee pain, and the improvement in HSS knee score. Further well-designed and large-scale RCTs are required to determine the effects of patellar resurfacing and non-resurfacing on these outcomes.

    Release date:2016-09-07 02:08 Export PDF Favorites Scan
  • EFFECTIVENESS OF ONE-STAGE REPAIR AND RECONSTRUCTION OF TRAUMATIC DISLOCATION OF KNEE JOINT COMBINED WITH MULTIPLE LIGAMENT INJURIES

    ObjectiveTo investigate the effectiveness of one-stage repair and reconstruction of multiple ligament injuries of the knee under arthroscopy. MethodsBetween March 2007 and March 2009,25 patients (25 knees) with multiple ligament injuries of the knee underwent one-stage repair and reconstruction under arthroscopy.Of 25 cases,16 were male and 9 were female with an average age of 29.6 years (range,18-43 years).The causes of injury were traffic accident injury in 20 cases,falling injury from height in 3 cases,and sport injury in 2 cases.The time between injury and surgery was 8-14 days (mean,10.5 days).The preoperative Lysholm score was 37.92±3.57.The X-ray film and MRI examinations showed that 17 patients had tears of anterior cruciate ligament (ACL),posterior cruciate ligament (PCL),and medial collateral ligament,and 8 patients had tears of ACL,PCL,and posterolateral corner (PLC);5 cases had medial meniscus injury and 7 cases had lateral meniscus injury.The ACL,PCL,and PLC were reconstructed under arthroscopy with autologous tendon or allogeneic tendon,and the MCL was repaired.Early active and passive functional exercises were done postoperatively. ResultsAll the incisions healed by first intention,and there was no complications of infection and deep venous thrombosis.Twenty-five patients were followed up 24-78 months (mean,50.9 months).Six patients had knee stiff postoperatively;after manipulation under anesthsia,5 patients lost less than 15° of flexion and only 1 patient lost 26° of flexion.At last follow-up,the stability of the knee joint was significantly improved.There were significant differences in the anterior drawer test,posterior drawer test,Lachman test,and varus stress and valgus stress testing at 30° between at last follow-up and at preoperation (P<0.05).The postoperative Lysholm score was 87.84±4.85,which was significantly better than the preoperative score (t=52.053,P=0.000).The International Knee Documentation Committee (IKDC) rating was nearly normal in 16 cases (64%),abnormal in 8 cases (32%),and obviously abnormal in 1 case (4%). ConclusionOne-stage repair and reconstruction of multiple ligament injuries of the knee under arthroscopy can effectively restore the function of the knee joint,and the effectiveness is reliable.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content