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Both hip arthroplasty and AO compressive cannular are reasonable choices for treatment of displaced femoral neck fracture in the elderly, but the results of group A is better than the group B. The rate of postoperative complication of group A is lower than the group B.

人工关节置换术和AO加压空心螺钉均是治疗老年股骨颈骨折的有效方法,但人工关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以人工关节置换的效果优于AO加压空心螺钉。

There with 8 cases of postoperative complication in group a (19.5).there were 12 cases of postoperative complication in group b(42.9%).conclusion both hip arthroplasty and ao compressive cannular are reasonable choices for treatment of displaced femoral neck fracture in the elderly, but

人工关节置换术和ao加压空心螺钉均是治疗老年股骨颈骨折的有效方法,但人工关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以人工关节置换的效果优于ao加压空心螺钉。

There were 12 cases of postoperative complication in group B(42.9%).Conclusion Both hip arthroplasty and AO compressive cannular are reasonable choices for treatment of displaced femoral neck fracture in the elderly, but the results of group A is better than the group B. The rate of postoperative complication of group A is lower than the group B.

人工关节置换术和AO加压空心螺钉均是治疗老年股骨颈骨折的有效方法,但人工关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以人工关节置换的效果优于AO加压空心螺钉。

Both hip arthroplasty and AO compressive cannular are reasonable choices for treatment of displaced femoral neck fracture in the elderly, but the results of group A is better than the group B. The rate of postoperative complication of group A is lower than the group B. So hip arthroplasty is a better way between two methods for the elderly with poor conditions.

人工关节置换术和AO加压空心螺钉均是治疗老年股骨颈骨折的有效方法,但人工关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以人工关节置换的效果优于AO加压空心螺钉。

Both hip arthroplasty and AO compressive cannular are reasonable choices for treatment of displaced femoral neck fracture in the elderly, but the results of group A is than the group B. The rate of postoperative complication of group A is lower than the group B. So hip arthroplasty is a better way between two methods for the elderly with poor conditions.

人工关节置换术和AO加压空心螺钉均是治疗老年股骨颈骨折的有效方法,但人工关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以人工关节置换的效果优于AO加压空心螺钉。

objective to compare the effects of hip arthroplasty and ao compressive cannular in treatment of the displaced fracture of femoral neck in elderly.methods from 1995.5 to 2004.11, 78 elderly patients of over 65 years old with displaced femoral neck fracture were operated with hip arthroplasty and ao compressive cannular.

目的 比较人工关节置换术与ao加压空心螺钉术治疗老年人有移位股骨颈骨折的疗效。方法将1995年5月~2004年11月我院收治的78例年龄在65周岁以上的有移位的新鲜股骨颈骨折患者进行回顾性研究,将病例分为a、b两组,a组为人工关节置换组,b组为ao加压空心螺钉治疗组。ao加压空心螺钉治疗组随访12~91个月,平均41.7个月,随访人工关节置换组12~96个月,平均40.3个月。

Conclusion]1.The main purpose for the application of the arthroscopic in UKA is to deal with other disease inside the knee rather than to confirm the indication of the operation.2.Arthroscopy is an effective way for the patients combined lateral menisci injury and other compartmental mild osteoarthritis.

结论](1)关节镜在膝关节单间室置换中应用的主要目的在于处理关节内的其他病变而非确定手术适应证;(2)对于合并外侧半月板损伤和其他间室轻度骨性关节炎的患者,关节镜仍是一种有效的辅助治疗手段。

In addition to two l-z joints, the medial branches also innervate the multifidus muscle, the interspinous muscle and ligament, and the periosteum of the neural arch.7,28–30 The L5 nerve differs in that it is the dorsal ramus itself that runs along the junction of the sacral ala and superior articular process of the sacrum.29,31 Its medial branch arises opposite the inferolateral corner of the base of the lowest facet joint.

除了l-z关节以外,内侧支还支配多裂肌,棘间肌和韧带以及椎弓处的骨膜。L5神经有所不同,其背侧支本身走行于髂骨翼和髂骨的上关节突。其内侧支在最低关节囊的基底部下外侧角的对面发出。

The pathological changes of hallux valgus are diversity, including adduct of metatarsus primus, increasing of the intermetatarsal angle between the first and second metatarsal bones, increasing of hallux valgus angle, dislocation of sesamoides, lost of soft tissue balancing.

拇外翻其病理改变具有多样性的,包括第一跖骨内收、第一,二跖骨间角增大、拇趾外翻角增大、第一跖趾关节近端关节面固定角或远端关节面固定角增大、籽骨移位、软组织平衡的改变等。X射线测量是确定拇外翻病理改变的主要的手段。

Methods The damaged second metacarpophalangeal joint,distal part of the second metacarpal and proximal part of the proximal phalanx were dissected.The metatarsophalangeal joint was transferred to the region of metacarpophalangeal joint of hand.The dorsal pedis artery Was anastomosed to the radial artery ,and the great saphenous vein Was anastomosed to the cephalic vein at anatomical snuf-box. The dissected bones of the hand removed of the cartilage of joint and soft tissue were grafted back to the donor site of the foot.

手术切除破坏的第二掌指关节及部分第二掌骨和近节指骨,将第二跖趾关节转移至手部第二掌指关节处,在鼻烟窝处将足背动脉与桡动脉吻合、大隐静脉与头静脉吻合,将切除的第二掌指关节的软骨关节面和骨骼的软组织剔除后回植到足部第二跖趾关节供区。

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