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For intertrochanteric fractures, internal fixation by using DHS plus normal functional exercises can obtain satisfactory therapeutic results and reduce the incidence of coax vara, crispation and extorsion deformity of the wounded limb.

采用动力系统内固定和规范的功能锻炼治疗高龄转子间骨折可获得满意疗效,有效降低了内翻、患肢短缩、外旋畸形等并发症的发生率。

Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂臼骨折的有效治疗方法,扩展型髂股入路对复杂臼骨折手术治疗是一个良好的选择。

Donclusion Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂臼骨折的有效治疗方法,扩展型髂股入路对复杂臼骨折手术治疗是一个良好的选择。

Then loading the models in both feet standing body posture, gain stress distribution figures of the models, record stress numerus of weight bearing dome, anterior wall and posterior wall in condition of different areas posterior wall fractures. Results 1、Normal 3D finite element model of acetabulum Obtain 3D visible model of pelvic by restituting CT fault images with Mimics10.01; gain 3D visible model of haunch bone by splitting the pelvic model with FreeForm software.

结果 1、正常臼三维有限元模型通过Mimics10.01软件对骨盆断层CT图像进行三维重建,获得骨盆三维可视模型;然后在FreeForm软件系统中对模型进行修饰,平滑模型表面,设定各受力面与界线;并成功截取出骨三维可视模型;再将模型导入Ansys8.0中进行各部分材料赋值及网格划分,建立了正常臼三维有限元模型,共含节点69440个,三维四面体单元45209个。

Most deficient acetabula can be restored to a hemispherical shape, and a standard, albeit large, acetabular component can be inserted.

多数有骨缺损的臼仍能保持半球形,因而可植入大的标准臼假体。

At 12–15 years, Charnley reported continuous radiolucent demarcation around cemented cups in 14% of patients.40 The failure rate was greatest in young patients, and Barrack and colleagues reported 44% loosening of cemented sockets at 12 years in individuals younger than 50 years.54 Cementless acetabular cups are hemispherical in shape and most are entirely porous-coated for bone ingrowth.

术后12-15年时,Charnley在14%患者中发现骨水泥臼杯周边存在连续的透亮线。年轻患者中假体失败率最高,Barrack报道为小于50岁的患者中术后12年时44%发生骨水泥套松动。非骨水泥臼杯为半球型,大部分全层喷涂多孔表面以促进骨长入。

A retrospective study design was conducted by using chart reviews to choose patients who received unilateral primary total hip and knee replacement (International Classification of Diseases, Ninth Revision, Clinical Modification procedure code of 81.51 and 81.54) in two medical centers between 2001 and 2004. Patients were excluded from the study if they had had a bilateral in the same admission, fractures, previous arthroplasty surgery complication, bone cancer, pathological fractures, infection and hemophiliac.

采回溯性病历审查方式,选择台湾地区两家医学中心施行全人工及膝关节置换术的全部医师作为研究医师,以ICD-9-CM中之主手术码为81.51及81.54,排除符合同次住院施行双侧、骨折、先前手术的并发症、骨癌、病理性骨折、感染、血友病条件后,分别为716名及1,498名接受初次全人工及膝关节置换的病患。

Results:When unilateral anterior superior iliac spine loaded by transient stress,0-10 ms,stress distributed from posterior superior iliac spine to anterior superior iliac spine,and on the last 10 ms,there were greater stress distribution around cacroiliac joint,acetabulum and pubic branch.When unilateral positive backside of ilium loaded,between 0 ms and 20 ms,stress transmitted along vertical direction of ilium,and after 20 ms,there were greater stress distribution on cacroiliac joint,both pubic branch,ischium branch and acetabulum.

结果:冲击载荷作用于单侧髂前上棘时,0~10ms主要的应力沿髂后上棘到髂前上棘分布,在冲击后期10ms以后,骶髂关节、臼和耻骨支都会产生较大的应力分布;作用于单侧髂骨正后方部位时,0~20ms主要的应力沿髂骨纵行传导,应力分布并没有在冲击峰值10ms时达到最大,而是从20ms之后,应力开始向骶髂关节、双侧耻骨支、坐骨支以及臼等部位传导并可见到明显的应力分布。

Objective:This study was designed to measure the angles of the acetabular abduction when facing the different pelvic obliqueness angles.

目的:通过对正常骨盆标本在骨盆歪斜不同角度时的臼外展角进行测量,得出臼外展角在骨盆绕身体矢状轴旋转时的变化趋势和规律。

Methods:The angle of the acetabular abduction of 21 pelvis all 42 hip joints were measured with the manual devices when facing the 9 different pelvic obliqueness angles.

手动测量21具骨盆标本共42在骨盆绕身体矢状轴向头侧和尾侧歪斜的9个不同角度时的臼外展角的度数。

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