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find Author "蔡锦方" 14 results
  • 皮瓣与创伤修复重建

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • 母趾离断再植

    Release date:2016-09-01 11:10 Export PDF Favorites Scan
  • 构建肌肉组织床修复股神经长段缺损两例

    目的总结 2 例采用构建肌肉组织床行自体腓肠神经移植修复股神经长段缺损的经验。方法2015 年 3 月及 2017 年 10 月共收治 2 例医源性股神经缺损男性患者,年龄分别为 48 岁及 52 岁。股神经缺损长度分别为 11、12 cm,股四头肌肌力均为 M0 级。分别于前次术后 1、2 个月行腓肠神经移植术,术中于髂肌、腰大肌肌间隙制备通道作为移植神经组织床。术后常规康复锻炼。结果术后 2 例患者分别获随访 34、26 个月,股四头肌肌力均恢复至 M4+级,步态恢复正常。结论将移植神经植入肌肉组织床可以获得较好营养供给,有利于移植神经再生,取得良好疗效。

    Release date:2020-11-02 06:24 Export PDF Favorites Scan
  • 跟腱再断裂的修复

    Release date:2016-09-01 09:35 Export PDF Favorites Scan
  • OPERATIVE TREATMENT OF DISPLACED TALAR NECK FRACTURES WITH ABSORBABLE LAG SCREW

    OBJECTIVE: To study a new kind of operation for displaced talar neck fractures. METHODS: From April 1996 to March 2001, 9 talar neck fractures were treated by internal fixation of absorbable lag screw with a medial approach and cut of medial malleolus to expose the fractures. A non-weight-bearing below-knee cast was applied for 6 to 12 weeks after operation. Once union of the fracture site is apparent, the patient should remain non-weight bearing in a removable short-leg and keep exercise every day. RESULTS: All the patients received follow-up from 15 to 60 months with an average of 28 months. The fractures healed from 20 to 42 weeks. The excellent and good rate of function was 77.8% (7/9) according to American Orthopedic Foot and Ankle Society Score(AOFAS). One case had the complication of superficial infection of wound and skin edge necrosis after operation, which was Hawkins type III. Late complication included two cases of avascular necrosis(AVN). Among them, one AVN of Hawkins type II was caused by early weight-bearing five weeks after operation and gained the fair score. The other AVN of Hawkins type III was inefficient to conservative therapy and proceeded ankle fusion in the end. The AOFAS of the patient was bad. CONCLUSION: Treatment of talar neck fractures by internal fixation of absorbable lag screw with a medial approach is an ideal method. It can gain a satisfactory result by the operation, strict postoperative care and rehabilitation.

    Release date:2016-09-01 09:35 Export PDF Favorites Scan
  • 带蒂岛状皮瓣移位修复足跟部软组织缺损

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  • 吻合神经的臀部带蒂皮瓣修复足跟皮肤软组织缺损

    Release date:2016-09-01 11:13 Export PDF Favorites Scan
  • 小腿外侧岛状肌皮瓣转移治疗胫骨慢性骨髓炎

    应用小腿外侧岛状肌皮瓣转移治疗胫骨慢性骨髓炎,具有血循佳,不损伤下肢主要血管,使用范围大,效果好,外形平整美观等优点。临床应用9例全部成功。本文详细介绍这一手术方法,还对术中、术后若干注意事项进行了讨论。

    Release date:2016-09-01 11:45 Export PDF Favorites Scan
  • 头皮撕脱伤的再植治疗

    Release date:2016-09-01 11:14 Export PDF Favorites Scan
  • EFFECTIVENESS OF POSTEROMEDIAL DOUBLE PLATES IN TREATMENT OF COMPLEX OLECRANAL FRACTURE

    ObjectiveTo evaluate the effectiveness of posteromedial double plates in the treatment of complex olecranal fracture. MethodsBetween September 2011 and July 2015, 13 patients with complex olecranal fractures were treated with posterior olecranon locking compression plate and medial mini-plate. There were 8 males and 5 females with an average age of 41.6 years (range, 22-68 years). Injury was caused by traffic accident in 4 cases, falling from height in 6 cases, and crush by object in 3 cases. According to the Mayo classification, fracture was rated as Mayo type ⅡB in 5 cases and as Mayo type ⅢB in 8 cases. Of 13 cases, 7 had Regan-Morrey type Ⅲ coronoid fractures, including 5 anterior dislocations of the elbow joint and 2 posterior dislocations. The time between injury and admission ranged from 1.5 to 10.0 hours (mean, 5.7 hours). At last follow-up, the elbow function was assessed according to the Broberg-Morrey evaluation criteria. X-ray films was performed to observe fracture healing. ResultsAll incisions healed at first stage and no neural complications occurred. The patients were followed up 9-38 months (mean, 22.1 months). All patients achieved bone union at 3.0-5.5 months (mean, 3.7 months) according to X-ray results. Subluxation of radial head and mild heterotopic ossification occurred in 1 patient respectively, who had no uncomfortable symptoms of movement disorder, elbow instability and pain, and no special management was performed. At last follow-up, the flexion and extension range of motion (ROM) of the elbow was 95-130° (mean, 116.4°); the rotation ROM of the forearm was 150-175° (mean, 170.8°); and the elbow function was excellent in 4 cases, good in 7 cases, and fair in 2 cases, and the excellent and good rate was 84.6%. No internal fixation failure, elbow stiffness, or traumatic arthritis occurred. ConclusionFor complex olecranal fractures, an early and stable anatomic reconstruction of trochlear notch in the olecranon with posterior olecranon locking compression plate and medial mini-plate can obtain good effectiveness in joint functions.

    Release date:2016-12-12 09:20 Export PDF Favorites Scan
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