关节复位

The rate of excellent and good functional recovery of hip was 94.0%. Postoperative internal-fixation-related complications occurred in 31 cases, including hip varus in 14 cases who had posterior intertrochanteric fragments, delayed union of fracture in 12 cases who had fractured calcar and lesser trochanter and massive dissection of soft tissues, and cutting-out of lag screws in five cases, three of whom had to receive prosthetic replacement.

术后髋关节功能恢复良好率达94.0%。215例患者中31例出现内固定相关术后并发症，其中髋内翻14例，主要发生于股骨转子内后方存在明显骨折碎裂的患者；骨折延迟愈合12例，为骨折累及股骨距及小转子，术中做软组织广泛剥离、骨折复位固定的患者；内固定物股骨头颈内切割并螺钉穿入髋关节腔5例，其中3例再行人工关节置换，关节功能Harris评分为82分。

This model of compression fracture showed the different reseting-effects after imposing reseting-load at different fulcrum. The change of displacement is the most obvious when the reseting-fulcrum is at the top of spinous process of T_(12) vertebral, the mechanic feature of various parts of the injured vertebral is the most stable, but the stress of the zygapophysial joints is larger.

骨折模型在不同的过伸支点施加复位载荷后表现出了不同的复位效果，当过伸支点在T_(12)棘突顶点处时其位移改变最明显，受伤椎骨各部位的力学特性最稳定，但是小关节承受了较大的应力。

If the condylar fracture is treated inappropriate, it may cause some complications, eg: limitation of mouth opening, pain in TMJs, occlusion disorder, arthrocleisis and so on. The fractural condylar can't rebuild well without treatment. For any kind of condylar fracture, treatment should strive for anatomic replacement and avoid removing the fractural residual.

研究结论：髁状突骨折如治疗不当，容易出现一些后遗症或并发症，如张口受限、关节区疼痛、咬合错乱以及关节强直等；成人髁状突骨折如不作处理，并不能自行改建形成新的功能完好的关节；所有类型的髁状突骨折，治疗时都应争取达到解剖复位，不应轻易摘除骨折残端。

However, its complications such as infection, bleeding, adhesion, pain, contracture of articular capsula increase incidence rate of bone nounion.

背景：切开复位治疗膝关节周围骨折，复位后易发生感染、出血、粘连、疼痛、关节囊挛缩等并发症，增加骨不连的发生率。

All patients were reduced manipulatively and immobilized by plaster casts at slightly palmar flexion and ulnar deviation for 4～6 weeks, and then begin a rehabilitative treatment for 8 weeks. Patients in the treatment group were treated with Prescription of Shangzhisunshangxunxi and functional exercise, however patients in the control group only with functional exercise.

本项研究对符合纳入标准的87例老年Colles关节内骨折患者按就诊的先后顺序随机分为熏洗组与对照组，熏洗组48例，对照组39例，所有病例均行手法复位、轻度掌屈尺偏位石膏固定4～6周后，开始纳入8周的课题研究过程，其中熏洗组采用上肢损伤洗方腕关节熏洗配合功能锻炼，对照组单纯行腕关节功能锻炼。

［Objective］ To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion ［Method］ From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score ［Result］ All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found ［Conclusion］ Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。［方法］2005年12月至2007年6月间，对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间（12~16 d，平均135 d）后采用枕骨大孔后缘扩大，寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术，手术后采用日本骨科学会神经功能评分分析临床疗效。［结果］8例患者随访6个月~2年，平均为15个月。8例患者无一例出现术后并发症，术前寰齿前间隙为5~9 mm，经颅骨牵引后为5~7 mm，寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复，影像学检查示枕颈区减压充分植骨区获得骨性融合，无一例出现内固定松动或断裂。［结论］合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变，采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的，且临床效果满意。

Conclusion］The pristine cases could receive significant curative effects through open reduction and internal fixation, the late cases could also receive significant curative effects through instep re-establishment and tarsometatarsal joints Fusion.

结论］早期陈旧性跖跗关节骨折脱位可行切开复位内固定术，疗效满意，而晚期的陈旧性跖跗关节骨折脱位，行足弓重建跖跗关节原位融合术，也可取得较好的治疗效果。

To compare the treatment effect between open reduction and close reduction under the arthroscopy using tensive band wire in the treatment of patella fracture.

为比较切开复位与关节镜监视下闭合复位张力带内固定治疗髌骨骨折的疗效。

Shoulder joint position sense decreased in the softball player with shoulder pain.

在肩上投掷时，肩痛症状会影响肩部关节位置觉，造成主动复位时准确度下降，尤其是肩盂关节的内转及水平外展，且关节在末端角度受到的影响更为明显。

Results All the patients were confirmed none anomalous anatomic structure about elbow joint by X-ray, and the therapy of manipulative reduction was performed successfully in all of them （7 cases were noncooperation, the second time were successes after being comforted）.

结果 本组患儿患肘关节X线检查均无骨骼与关节解剖结构变异，经手法复位均整复成功（其中7例患儿不合作，哄好后再次复位成功）。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。