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find Author "韩金豹" 4 results
  • A PROBE TO THE TREATMENT OF MADELUNG DEFORMITY

    Objective To explore a method of treating Madelung deformity. Methods Seven cases of Madelung deformity had been treated with the excision of ulnar carpi ulnaris segment and distal osteotomyof radius and tight constrict of extensor carpi ulnaris from Mar. 2000 to Nov. 2003. The angle of ulnar tilting was 37-70° and the angle of volar tilting wasover 16°. A longitudinal incision on each side of the radius and ulnar was made, the ulna was excised about 2-3 cm segment. Then the fracture of ulna was fixed by double across vertical steel wire and the radius was fixed with medullarywire. Lastly the extensor carpi ulnaris was shortened and sutured after the wrist was located restposition. Results After surgery, the deformity of wrist was improved and pain-free in the seven cases. The angle of ulnar tilting was reduced to 22-24°. The angle of volar tilting was reduced to 15° below. Follow-ups were conducted inthe 7 patients for 2 years in average. The activity of wrist joint and the rotation of forearm recovered from those before operation. The wrist joint could stretch fully. Conclusion This method of treating Madelung proves to be effective inrecovering deformity, releasing pain, improving function, and reducing traumatic osteoarthritics of the distal radioulnar joint. 

    Release date:2016-09-01 09:29 Export PDF Favorites Scan
  • 小腿远端皮支链血管皮瓣修复足踝部缺损的疗效观察

    目的 总结小腿远端皮支链血管皮瓣修复足踝部软组织缺损的疗效。 方法2008年5月-2011年10月,收治11例足踝部软组织缺损患者。男9例,女2例;年龄20~70岁,平均46.5岁。其中外伤致软组织缺损8例,伤后至手术时间2 h~21 d;恶性肿瘤切除后缺损3例。缺损范围为4 cm × 4 cm~7 cm × 7 cm;创面伴骨、肌腱外露。采用大小为4.5 cm × 4.5 cm~9.0 cm × 9.0 cm的小腿皮支链血管皮瓣修复缺损。供区直接拉拢缝合或游离植皮修复。 结果1例皮瓣术后发生远端皮缘坏死,经换药后二期修整缝合愈合;其余皮瓣均顺利成活,创面均Ⅰ期愈合。供区植皮均成活;切口Ⅰ期愈合10例,Ⅱ期愈合1例。术后患者均获随访,随访时间6~12个月,平均8个月。皮瓣外形不臃肿,色泽、质地优良,耐磨无破溃,穿鞋行走自如。 结论小腿远端皮支链血管皮瓣不牺牲主要血管及皮神经,手术操作简便,术后成活率高,外观较好,是修复足踝部软组织缺损的理想方法之一。

    Release date:2016-08-31 04:06 Export PDF Favorites Scan
  • 微型钢板治疗掌指骨骨折的疗效分析

    目的 回顾性分析微型钢板治疗掌、指骨骨折的效果,评价其临床应用价值。 方法 2003 年1 月-2007 年6 月,采用微型钢板治疗掌、指骨骨折134 例174 处。男101 例,女33 例;年龄15 ~ 48 岁,平均27.8 岁。掌骨骨折105 处,指骨骨折69 处。闭合性骨折71 处,开放性骨折103 处。其中粉碎性骨折68 处,斜形或螺旋形骨折46 处,横形骨折32 处,粉碎性骨折合并骨质缺损13 处,病理性骨折(内生软骨瘤)合并骨质缺损15 处。合并伸屈肌腱损伤或神经损伤18 处,皮肤缺损11 处,累及关节的骨折16 处。伤后至手术时间2 ~ 72 h,平均6 h。 结果 术后伤口除1 例感染外,均Ⅰ期愈合。皮瓣供区Ⅰ期愈合。患者均获随访,随访时间6 ~ 12 个月,平均8.2 个月。X 线片示骨折线于术后6 ~ 11周消失。伤指外观无明显成角及旋转畸形。术后因疼痛不愿活动致关节僵硬3 指,累及关节的骨折致创伤性关节炎1 指,延迟愈合2 指,伤口感染1 指。无骨不连及畸形愈合。按照TAM 系统评定法,优115 处,良39 处,可12 处,差8 处,优良率88.5%。 结论 微型钢板治疗掌指骨骨折是一种有效的内固定方法

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • EFFECTS OF DECIMETER WAVE AND SODIUM HYALURONATE PRODUCT ON POSTOPERATIVE ADHESIONS IN FLEXOR TENDON

    Objective To compare the effect of decimeter wave with sodium hyaluronate product (SHP) on preventing and treating peritendinous adhesion and promoting tendon heal ing. Methods Totally 96 healthy male white 6-month-old Leghorn chickens weighing (2.24 ± 0.07) kg were randomized into group A ( decimeter wave therapy group, n=32),in which decimeter wave therapy was appl ied 1 to 21 days after operation at a frequency of 915 MHz, a power of 8 W, radiation distance of 10 cm, for 10 minutes once per day; group B (SHP group, n=32), in which 5 mL and 1.2% SHP was appl ied; and group C (control group, n=32), in which injury received no treatment. The III and IV toes of left feet of all chickens were made into tendon injury model. The general condition of animal was observed after operation; gross and histological observations were made 7, 10, 14, 18, 21 and 28 days after operation, and the biomechanical analysis was done 14 and 28 days after operation. Results Operative incision healed well, no infection and death occurred. Peritendinous adhesions in groups A, B were looser, and tendon heal ing was better than that of group C 14 and 28 days after operation. More fibroblasts with active metabol ism and more collagen formation in groups A, B than that in group C. The Pmax of group A was better than that of group B 14 and 28 days after operation (P lt; 0.05); the δmax of group A was better than that of group B 18 and 21 days after operation (P lt; 0.05), and the W0 of group A was better than that of group B 18, 21 and 28 days after operation (P lt; 0.05). There was no significant difference between group A and group B at the other time points. Conclusion Topical decimeter wave therapy and appl ication of SHP after flexor tendon repair can promote intrinsic heal ing, meanwhile they can prevent the adhesion of tendon and reduce extrinsic heal ing. Decimeter wave therapy can improve the qual ities of tendon’s wound heal ing.

    Release date:2016-09-01 09:19 Export PDF Favorites Scan
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