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关节复位

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Methods From January 2003 to June 2005, 26 cases of tarsometatarsal joint injuries were treated with close reduction and percutaneous screw fixation.

自2003年1月~2005年6月应用闭合复位经皮螺钉内固定治疗跖跗关节损伤26例。

Objective To investigate the therapeutic efficacy of using AO/ASIF collar-bone hook nickelclad while carring out ORIF operation to TossyⅡ type acromioclavicular dislocation and NeerⅠ type distal end of collar bone fracture.

目的 观察应用AO/ASIF锁骨钩钢板对TossyⅡ型肩锁关节脱位和NeerⅠ型锁骨远端骨折进行切开复位固定手术的治疗效果。

The ten patients of the avulsed fragment was reduced and fixed with two wire under arthroscopy.Result All patients were followed up from two months to two years.

方法对 10例(11膝)髁间嵴撕脱性骨折病人,在关节镜监视下进行骨折复位,通过两根钢丝套环引出固定钢丝固定骨折。

Radiograph showed that 96 cases obtained anatomic reduction of facies articularis patellae, and the fractured knee function was improved (90 °) after average 3.3 weeks, flexion and extension function restored to normal extent at average 6.9 weeks.

结果:106例患者平均随访23个月(11~50个月),X射线片示髌骨关节面达到解剖复位者96例,患膝功能平均3.3周达到90°,平均6.9周屈、伸功能达到健侧水平,按Bostman临床评分系统,优99例,良7例,优良率100%。

Methods Fortythree cases of Itraarticular Fracture of the Calcaneus(46 feet) were treated with limited internal fixation with small incision and artificial bone implantation from June 2003 to June 2007.There were 34 male(37 feet) and 9 female(9 feet). Small incision was used extracalcaneus,collapsed facies articularis posterior calcanei after reduction,air containing space of Calcaneus were fiiled with hydroxyapatite ceramic artificial bone.

2003年6月—2007年6月作者采用微创小切口有限内固定联合人工骨植入的方法对43例46足跟骨关节内骨折进行治疗,其中男34例37足,女9例9足,术中运用跟骨外侧横行小切口,塌陷的跟骨后关节面复位后选用羟基磷灰石人工骨材料填充跟骨内空腔然后克氏针及螺钉固定。

Results The effect of clinical practice are well,especially in the oblique line fracture,intraarticualar fracture and comminated fractures.

结果 通过临床操作收到了很好的效果,特别是使大斜面骨折、关节内骨折、粉碎性骨折得到了良好的复位。

Pcrcotancoos transfixation-pin internal fixation implant is mainly used for extra-articular fracture.

经皮穿针复位内固定植入体主要适用于关节外骨折。

Methods Twenty-seven patients suffering from mallet finger accompanied by avulsional fracture were treated with Ishiguro method or its modified method. During the operation, a blocking pin was inserted percutaneously with DIP flexed, then the DIP was fixed at a position of full extension with another Kirschner wire. When the fracture fragment was big with rotation displacement, a third Kirschner wire could be used to correct the displacement and fix fracture. Results The patients were followed up 2 months to 6 years and 6 months with an average of 9.3 months postoperatively.

采用石黑法及其改良法治疗27例伴撕脱骨折的锤状指,在透视下运用闭合穿针的方法,在远侧指间关节屈曲位时于背侧插入阻挡针,然后用另一根克氏针将DIP固定于充分伸直位;当较大的骨折块向背侧有旋转移位时,可加用一根克氏针撬拨复位并固定骨折块。

Methods Six dislocated condylar fractures were treated with lag screw . Postoperative follow_up mean 7 months (range 3-13 months).

6例成人颞下颌关节囊外移位性髁突骨折患者接受了轴向拉力螺钉外科复位手术,其中男性5例,女性1例,平均年龄32岁,术后追踪平均7个月(3-13个月)。

The technique of lag screw fixation is able to reduce and fix the unstable injuries in the posterior ring of pelvis perfectly and immediately after operation.

拉力螺钉固定技术可使不稳定性骨盆后环获得良好的即刻复位和固定,恢复骨盆环的稳定性,适用于骶髂关节脱位及骶骨骨折患者。

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