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Isolated rotatory dislocation is very rare in adults.11–13 Few cases of AARFs have been reported in adults, perhaps because the cause may often be a severe trauma associated with lethal injuries.3,4,12,14 –19 The mechanisms underlying persistent displacement in traumatic AARF include infolding of the synovial folds into the C1–C2 joints, muscle spasm, subsequent ligamentous contracture, articular cartilage damage, or facet fracture.1,11

离体旋转脱位在成人也很少见[11-13]。关于成人AARF病例的报道甚少,可能与严重创伤通常与高致死性损害相关[3,4,12,14 –19]。创伤性AARF持续移位的主要原因包括滑膜襞内折入C1-C2关节、肌肉痉挛、继发韧带孪缩、关节软件损伤或关节突骨折[1,11]。

AIM To investigate the surgical treatments on ankylosed hip joints with flexion informity, 11 cases of total hip arthroplasty course and postoperative treatment were analysed retrospectively.

目的 通过回顾性分析髋关节屈曲强直后的治疗经过,对髋关节屈曲强直后的人工全髋关节置换术的外科治疗方法进行探讨。

Total hip arthroplasty is an effective methods to treat ankylosed hip joints with flexion informity, emphasis should be put on the balance of soft tissues and avoid injury to nerve.

人工全髋关节置换术是治疗髋关节屈曲强直畸形的有效方法,但需要注意矫正软组织的平衡,避免神经损伤。

Methods Total hip arthroplasty were performed on11 cases of ankylosed hip joints with flexion informity ; among them with bio-fixing prothesis 8 cases, cement-fixing prothesis 3cases. The follow-up period is from 11 months to 38 months.

对11例髋关节屈曲强直患者,采用人工全髋关节置换术,其中生物固定型8例,骨水泥固定型3例,随访期11~38个月,平均为24个月。

Complex tissue defects of interphalangeal joints and the dorsal side of the multiple digits are the features of damages.

木工铣床是最常见的致伤机械,多指背侧指间关节复合组织缺损为特征性损伤。

Heberden's nodes of the distal interphalangeal joints of the hand are classic findings.

手远侧指间关节的Heberden's结节是典型的表现。

Complex tissue defects of interphalangeal joints and the dorsal side of the multiple digits are the features of damages.

木工机械致手外伤的特殊伤情以及术后缺乏康复治疗,是患者预后不良的主要原因。

Complex tissue defects of interphalangeal joints and the dorsal side of the multiple digits are the features of damages.

木工铣床是最常见的致伤机械,指背侧指间关节复合组织缺损特征性损伤。

Heberden's nodes of the distal interphalangeal joints of the hand are cla ic findings.

手远侧指间关节的Heberden's结节是典型的表现。

Methods Ten cadaveric fingers were used. Their metacarpophalangeal and distal interphalangeal joints were fixed.

采用10只尸体手示、中、环指,将掌指关节及远节指间关节固定后,进行以下4个阶段的实验:(1)腱鞘完整;(2)A3滑车切除;(3)A3及其近端切开;(4)A4与A2滑车间的腱鞘切开。

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