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find Author "朱靖有" 2 results
  • INFLUENCE OF CLOSED-BOX AND OPEN-BOX KNEE PROSTHESIS ON POSTOPERATIVE BLOOD LOSS INPATIENTS UNDERGOING TOTAL KNEE REPLACEMENT/

    【Abstract】 Objective To study the influence of close-box and open-box knee prosthesis on postoperative bloodloss in patients undergoing total knee replacement(TKR). Methods From June 2005 to December 2006, 108 atients with primaryknee osteoarthritis were treated with TKR. Closed-box knee prosthesis was used in 54 patients (Group A), including unilateral(Group A1, n =27)and bilateral (Group A2, n =27). There were 7 males and 47 females, aged 41-76 years; and the diseasecourse was 4-16 years. Open-box knee prosthesis was used in 54 patients(Group B), including unilateral (Group B1, n =27)andbilateral(Group B2, n =27). There were 8 males and 46 females, aged from 59-81 years; and the disease course was 8-26 years. Thepostoperative blood loss and perioperative blood loss were compared between groups. Results The postoperative blood losswas (890±352), (1 694±528), (1 068±386) and(2 065±622) mL in groups A1, A2, B1 and B2, respectively. There was no significantdifference between groups A1 and B1(P gt; 0.05). There was significant difference between groups A2 and B2(P lt; 0.05). The totalblood loss was (1 095±329), (2 082±594), (1 274±415) and (2 459±734) mL in groups A1, A2, B1 and B2, respectively. Therewas no significant difference between groups A1 and B1(P gt; 0.05). There was significant difference between groups A2 and B2(P lt; 0.05). Conclusion Closed-box knee prosthesis may play roles on reducing postoperative blood loss. The main influentialfactor for postoperative blood loss is operation techniques which includes reducing operation time and stanching thoroughlyduring operation.

    Release date:2016-09-01 09:09 Export PDF Favorites Scan
  • 胫骨高位截骨Giebel 内固定治疗膝内翻畸形

    目的 总结胫骨高位截骨术(high tibia osteotomy,HTO)结合Giebel 内固定治疗膝内翻畸形的方法及疗效。 方法 2000 年1 月- 2007 年2 月,采用HTO 联合Giebel 内固定系统治疗13 例膝内翻畸形患者。男6 例,女7例;年龄34 ~ 68 岁,平均45 岁。均为骨性关节炎患者。病程12 ~ 23 个月。根据KSS 评分标准进行评分,其中KSS 评分(60.23 ± 11.29)分;功能评分(70.41 ± 10.33)分。负重位膝关节X 线片测量膝内翻畸形为(11.3 ± 3.6)°。 结 果 术后切口均Ⅰ期愈合,无并发症发生。13 例均获随访,随访时间12 ~ 32 个月,平均18 个月。术后12 ~ 14 周X 线片示截骨断端均达骨性愈合。术后2 周膝关节X 线片测量矫正角度为(14.50 ± 4.20)°,术后12 个月矫正角度为(12.60 ± 1.15)°,与术前比较差异均有统计学意义(P lt; 0.05);术后12 个月与术后2 周比较,矫正丢失角度为(1.90 ± 3.05)°,差异无统计学意义(P gt; 0.05)。术后5 个月根据KSS 评分标准进行评分,KSS 评分为(80.00 ± 15.20)分,功能评分为(90.00 ± 11.16)分,与术前比较差异均有统计学意义(P lt; 0.05)。 结论 HTO 结合Giebel 内固定可有效治疗膝关节内翻畸形。

    Release date:2016-09-01 09:16 Export PDF Favorites Scan
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