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Objective To investigate effect of total hip replacement for severe fracture of acetabulum.

目的 探讨早期全置换术治疗严重臼骨折的疗效。

RESULTS: With the use of Ti-mesh, the strain distribution of the acetabulum changed.

结果:臼负重区和臼底部的应变变化规律相同,即随着负荷的增加,这些区应变增加明显,主要表现为压应力。

To explore the therapy for posterior acetabular fracture with compressive articular surface of the acetabulum.

探讨治疗臼骨折合并臼关节面压缩缺损的手术方法与措施。

Reconstruction of actabulum is mainly relevant to design, selection and fixation of acetabular prosthesis and repair of deficient acetabulum.

缺损臼的重建主要涉及翻修臼假体的设计与选择、翻修假体的固定和骨缺损修复等几个重要问题。

And then measured for acetabular rim opening width and acetabular anteversion angle in different transection planes in computer with related software.

并对不同横断面的臼缘开口宽度、不同横断面臼前倾角进行定量测量。

Methods Reconstruction of 40 normal adult boney acetabula were obtained through CT scanning, and processed by edge recording of the CT image, and CAD software. The items of observation were measured with the Unigraphics sofeware.

40例成人臼标本CT横断扫描、图像边界处理和定标,利用CAD软件拟合臼骨形态,并应用Unigrapics软件进行形态学的测量。

Methods:9 patients including 8 male and 1 female were included in this study.2 patients suffered from both side of ANFH,5 were righe side and 2 were left side.X-ray,CT and MRI were performed before the surgery.4 hips were classified as ARCO stage 1,7 hips were stage 2.All the patients were treated as follows:the area of NFH and cystis degeneration were detected and bouche decompression was done through X-ray with C-arm,and the necrotic bone was cleared for the pathologic diagnosis under the monitoring of arthroscopy.And then the non-cell based tissue engineering bone, which was the complex of autologous red bone marrow and osteoinductice absorbing material containing BMP,was transplanted into the body.

本组9例,男性8例,女性1例;双侧股骨头坏死2例,右单侧股骨头坏死5例,左单侧股骨头坏死2例;术前均行X线摄片、CT、MRI 检查,ARCO分期:Ⅰ期4,Ⅱ期7;C型臂X线透视下行股骨头坏死区和囊性变区定位、髓芯减压,关节镜监视下,刮除坏死骨送病理;植入由自体红骨髓与含BMP的骨诱导活性材料复合成的非细胞型组织工程骨,并用空心钛钉支撑股骨头软骨下骨质。

Objective To review and evaluate the curative effects of coxa fracture in senile patients.Methods We collected the data from 2000 to 2005, the 112 senile patients suffered from coxa fracture have been analyzed.

目的 回顾老年部骨折治疗效果方法对2000~2005年共收治疗的112例老年部骨折进行随访分析。

Objective To compare the effect and safety on senility patient operated in coxa with different anaesthesia in vertebra tube, and discuss aptitude anaesthesia method to senility patient operated in coxa.

目的比较三种椎管内麻醉方法用于高龄病人部手术的麻醉效果和安全性,探讨适合高龄病人部手术的椎管内麻醉方式。

Methods 58 patients (75 hips) with acetabulum deficiency had THR performed. In the operations, an ural bone graft, a morselized bone graft or their combination were used based on the definition. After the operations, 46 patients (59 hips) were followed up and evaluated by Xrays and the Harris score.

对58例75存在臼骨缺损患者行全关节置换手术,术中对根据骨缺损的情况分别进行颗粒性、结构性和混合性植骨,术后对其中46例(59)进行关节X线检查及关节功能Harris 评分。

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