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

Search

find Author "张福江" 5 results
  • A NEW TECHNIQUE DETERMINING TIBIAL ROTATIONAL ALIGNMENT IN TOTAL KNEE ARTHROPLASTY

    【Abstract】 Objective To compare the two different techniques determining tibial rotational al ignment in total kneearthroplasty(TKA) to enhance postoperative effect and reduce compl ications. Methods From May 2006 to April 2007, 60 patients(27 males, 33 females, aged 55-78 years ) received TKA and randomly divided into 2 groups(n =30): tibial rotational al ignmentin TKA was determined by medical 1/3 of tibial tubercle in Group A, by medial border of tibial tubercle at 0-9°varus inGroup B, by medical 1/3 of tibial tubercle at 20°or greater varus or by the mean l ine between medial border of tibial tubercle andmedical 1/3 of tibial tubercle at 10-19°varus. The angle of rotation of polyethylene cushion was calculated. Results The angleof rotation of polyethylene cushion in Group A was (8.4±3.8)° at 0-9°varus, (3.5±2.7)° at 10-19°varus and (0 ±2.4)° at 20°varusor over, respectively, and there was significant difference (P lt; 0.05). The angle of rotation of polyethylene cushion in Group Bwas (0 ±2.1)° at 0-9° varus, (0 ±2.0)° at 10-19°varus and (0 ±1.7)° at 20°varus or over, respectively, and there was no significantdifference (P gt; 0.05). The angle of rotation of polyethylene cushion averaged (5.6±2.8)°in Group A and (0±1.9)° in Group B,showing significant difference (P lt; 0.05). Conclusion The range of ideal tibial rotational al ignment in TKA was from medialborder of the tibial tubercle to medical 1/3 of the tibial tubercle, and is decided by the degree of varus deformities and valgus deformities.

    Release date:2016-09-01 09:09 Export PDF Favorites Scan
  • 选择性松解膝内侧副韧带浅层在膝内翻全膝关节置换术中的应用

    总结选择性松解膝内侧副韧带浅层在膝内翻全膝关节置换术中应用的效果。 方法 2006 年5 月- 2007 年5 月,对60 例膝内翻患者行全膝关节置换术。男27 例,女33 例;年龄55 ~ 78 岁。骨性关节炎38 例,类风湿性关节炎15 例,创伤性关节炎7 例。膝内翻总角度为(13.8 ± 2.5)°,HSS 评分为(36.5 ± 2.9)分。术中选择性松解膝内侧副韧带浅层矫正膝内翻。 结果 术后患者切口均Ⅰ期愈合。获随访6 ~ 12 个月,平均9 个月。膝内翻总角度为(0.8 ± 1.5)°,HSS 评分为(86.0 ± 3.5)分,与术前比较差异均有统计学意义(P lt; 0.05)。 结论 在膝内翻全膝关节置换术中应用选择性松解膝内侧副韧带浅层疗效良好,具有损伤较小及操作简便的优点。

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
  • 全髋关节置换术中髋臼横韧带对髋臼假体前倾定位的研究

    探讨全髋关节置换术中应用髋臼横韧带作为髋臼假体前倾定位参照的临床效果。 方 法 2006 年1 月- 2007 年1 月,进行100 例100 髋人工全髋关节置换术。男67 例,女33 例;年龄45 ~ 82 岁,平均64.5 岁。股骨颈骨折头下型45 例,股骨头无菌性坏死Ⅲ~Ⅳ期32 例,成人先天性髋关节发育不良Ⅰ级12 例,创伤性髋关节炎6 例,髋关节骨性关节炎3 例,类风湿性关节炎2 例。患者均为初次置换。术中应用髋臼横韧带作为髋臼假体前倾定位的解剖参照标志,术后测量髋臼假体的前倾角,并与正常值比较。 结果 术后患者切口均Ⅰ期愈合。获随访6 ~ 12 个月,平均9 个月。无髋关节脱位发生。术后髋臼假体前倾角为(15.17 ± 5.00)°,与正常值(15 ± 10)° 比较,差异无统计学意义(P gt;0.05)。 结 论 髋臼横韧带是髋臼假体前倾定位的可靠解剖参考标志。

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
  • CLINICAL COMPARATIVE STUDIES ON EFFECT OF TRANEXAMIC ACID ON BLOOD LOSS ASSOCIATED WITH TOTAL KNEE ARTHROPLASTY

    To investigate an effect of tranexamic acid on blood loss associated with total knee arthroplasty (TKA).Methods From June 2005 to June 2006, 102 patients (43 males, 59 females; aged 59-77 years, averaged 68 years) underwent TKA. Of the 102 patients, 59 had osteoarthritis, 23 had rheumatoid arthritis, and 20 had traumatic arthritis.The illness course ranged from 2 to 12 years. They were randomized divided into Group A and Group B of 51 patients each. The patients in Group A received tranexamic acid, and the patients in Group B received an equal volume of normal saline. In Group A, 1 g of tranexamic acid dissolved in 250 ml of normal saline was intravenously infused before deflation of the tourniquet; another intravenous administration of the same drug of the same dosage was given 3 hours later. In Group B, only 250 ml of normal saline was infused intravenously. The amounts of blood loss and blood transfusion during operation and after operation in all the 102 patients were recorded. They were also observed for whether they had deep vein thrombosis. D-dimeride, fibrinogen, prothrombin time, and activated partial thromboplastin time were also examined before operation, during operation (deflation of the tourniquet), and 3 hours after operation.Results The blood loss was 256±149 ml in Group A and 306±214 ml in Group B during operation; there was no significant difference between the two groups(P>0.05). The postoperative drainage volume was 478±172 ml in Group A and 814±156 ml in Group B, and the total blood loss was 559±159 ml in Group A and 1.208±243 ml in Group B; there were significant differences between the two groups (P<0.05). The averaged amount of blood transfusion was 556±174 ml in Group A and 1 024± 278 ml in Group B; there was a significant difference between the two groups (P<0.05). The postoperative hemoglobin concentration was higher in GroupA than that in Group B (1.0-1.1 g/dL vs. 0.6-0.8 g/dL). The ostoperative follow-up for 612 months revealed that no deep vein thrombosis was found in both lower limbs of the patients by the color Doppler ultrasonography. The level of D-dimeride was significantly higher 3 hours after operation than before operation (0.92±0.56 mg/L vs. 0.35±0.13 mg/L in Group A; 1.32±0.79 mg/L vs. 0.37± 0.21 mg/L in Group B) (P<0.05). The D-dimeride level 3 hours after operation was significantly higher n Group B than in Group A(P<0.05). There were no significant differencesin the levels of fibrinogen, prothrombin time, and activated partial thromboplastin time between the two groups(P>0.05).Conclusion During and after the TKA operation, a shortterm use of tranexamic acid can significantly decrease blood loss and blood transfusion with no increasing risk for venous thrombosis.

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • RESEARCH ADVANCE OF TIBIAL ROTATIONAL ALIGNMENT TECHNIQUE IN TOTAL KNEE ARTHROPLASTY

    Objective To review the advance in the researchand clinical application of the tibial rotational alignment technique in the total knee arthroplasty in China and abroad. Methods The recent literature concerned with the tibial rotational alignment technique in the totalknee arthroplasty was extensively reviewed and briefly summarized. Results According to the literature reviewed, the traditional tibial rotational references for the total knee arthroplasty were affected by many factors, so that the references were not accurate enough. There have been no unified references.ConclusionChoosing the range from the medial border of the tibial tubercle to the medial 1/3 of the tibial tubercle, decided by the degrees of the varus deformities and the valgus deformities, to determine the rotaional alignment of the tibial component will create an optimal tibiofemoral rotational alignment.

    Release date:2016-09-01 09:23 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content