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The normal intervertebral height and lordotic were maintained,and 10 cases with incomplete neurological defect were improved postoperatively.

植骨于术后12周均获得牢固骨性融合,颈椎椎间高度、生理曲度及颈椎稳定性维持良好,均获得完全复位。10例脊髓不完全性损伤者功能均获不同程度的改善,13例脊髓完全性损伤者临床症状得到缓解。

When surgery is indicated after central cord injury in the stable spondylotic spine, it is the overall cervical spinal alignment and the number of levels affected that determine the surgical approach.30 When the spine is lordotic, and particularly when there are multiple levels of compression; a posterior approach, either a laminectomy and fusion or a cervical laminoplasty are recommended approaches.28 If the spine is neutral or slightly kyphotic, then occasionally, after a posterior laminectomy, lordosis may be achieved with intraoperative positioning and maintained with posterior lateral mass fixation and fusion.

当不伴有颈椎不稳的颈椎病并颈髓中心管损伤患者需要手术治疗时,整个颈椎的序列和受累的节段决定了手术入路的选择。颈椎处于前凸状态,尤其是多节段颈髓均有受压时,建议采用后方入路进行全椎板切除融合或颈椎椎板成形术。假如颈椎处于中立位或稍微后凸时,有时通过后方的全椎板切除,术中复位和侧块螺钉固定融合,可以恢复颈椎的前凸。

Objective To compare the effect of minimally invasive surgery and open surgery for malleolar fracture.

目的 比较闭合复位经皮内固定和手术切开内固定治疗踝部骨折的疗效。

AIM: The incidence of malrotation after femoral shaft fracture treated with close reduction and interlocking intramedullary nailing is high. To judge the degree of rotational deformity in fracture of shaft of femur by C-arm X-ray machine is necessary in the repair of tissue construction.

目的:采用闭合复位带锁髓内针置入固定治疗股骨干骨折,术中常出现远端旋转畸形,利用C形臂X射线机并以健侧NH角(股骨头-颈轴线与水平台面的夹角)作为参照物,判断骨折端旋转移位程度是组织构建修复过程中必须解决的应用技术。

Result]Complications were found in 6 cases, including postoperative wound dehiscence in 2(infection in 1), malunion in 4.The percentage of complication was 11.7%.

结果]51例56足中,47足骨折愈合优良,6足术后发生复位不佳、畸形愈合、切口延迟愈合、感染等并发症,发生率为11.7%。

Using plate fixation to treat displaced midshaft clavicular fractures is safe and effective,and can decrease the rate of malunion and disunion,and improve the shoulder joint function early.

切开复位钢板固定治疗锁骨中段移位骨折较克氏针固定安全有效,可以减少骨折畸形愈合、骨不愈合的发生,使肩关节功能早日恢复。

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。

Methods All operation were performed in normal radioparent operatingtable,an 8cm incision is located in fibular of the patella ligament, drill in the femoral intercondylar ,the fracture is manipulatively reducted with the knee flexion, enlarging the medulla ,then interlocking intramedullary nail is inserted.

手术均在能透视的普通手术台进行,于髌韧带外侧缘做8 cm的切口,经股骨髁间窝开孔,膝关节屈曲手法复位,依次扩髓,逆行穿入带锁钉。

Methods:272 patients with subluxation of sacroiliac joint were examined using clinical and pelvic oblique and pubic axial plate radiographys,the history were collected and the patients were treate d with manipulatory reduction.

通过272 例骶髂关节半脱位临床检查及X线摄骨盆斜位片和耻骨轴位片进行诊断,同时进行手法复位

Objective: To study the result of operation of metacarpophalangeal joints contracture in old people's. Methods: Contractive ligament functional excercise metacarpophalangeal of articulation of finger were resected, early and physical therapy after operation were instructed.

老年人发生克雷氏骨折的机会较多,而克雷氏骨折手法复位,外固定后造成掌指关节挛缩僵硬的病例亦不少见;1997年 7月~ 1998年 7月,我科对 12例掌指关节挛缩的病人进行了手术治疗,术后立即采用系统性的康复治疗,取得较好的疗效。1 资料与方法1.1 一般资料本组 12例,男 3例,女 9例,年龄 52~ 6 7岁,平均56岁。

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