Core decompression and implantation of calcium phosphate cement/Danshen drug delivery system for tre

来源 :中华创伤杂志(英文版) | 被引量 : 0次 | 上传用户:shanxidongfang
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To introduce a new method using calcium phosphate cement/Danshen drug delivery system for treating ischemic necrosis of the femoral head and evaluate its curative effect.Methods: From May 2000 to June 2005, 48 adult patients (54 hips) with ischemic necrosis of the femoral head at Stages Ⅰ,Ⅱ and Ⅲ of antigen reactive cell opsonization (ARCO) were treated with implantation of calcium phosphate cement/Danshen drug delivery system in the involved femoral head. The operation consisted of removal of the necrotic bone under weight-loading cartilage and the implantation of phosphate cement/Danshen drug delivery system, and all manipulations were made percutaneously through a bone tunnel in the trochanter. The functions of the hip joint were evaluated and X-ray films were taken preoperatively and postoperatively.Results: Postoperative follow-up was 45.5 months on average, ranging from 27 to 78 months. According to the evaluation criterion of "Dandong 1995" for therapeutic effect of adult ischemic necrosis of the femoral head, the therapeutic effects were excellent in 33 hips, good in 17, fair in 3 and poor in 1, with the excellent and good rate of 92.6 %.Conclusions: This method is relatively simple with little invasion. It not only improves the microcirculation of the femoral head by local application of traditional Chinese medicine, but also provides mechanic buttress in the weightloading area to prevent collapse during repairing, which is beneficial to repair and reconstruction of femoral head. It may be a choice of minimal invasion surgery for ischemic necrosis of the femoral head at Stages Ⅰ, Ⅱ and Ⅲ of ARCO.
其他文献
目的探讨心力衰竭(HF)患者血清N端B型脑钠肽前体(NT-proBNP)改变及其临床意义。方法采用双向侧流免疫方法测定107例HF(NYHAⅠ、Ⅱ、Ⅲ、Ⅳ)患者、30例健康对照者及28例HF患者
在WDM全光网络中实现实时Multicast功能是计算机网络的应用要求,也是现代计算机网络的重要特征。该文提出了一种在WDM全光网络中实现实时Multicast的算法。该算法以辅助的波
皮尔士对符号研究的主要贡献,就在于发现:符号之所以成为符号,之所以能通过一定的形式系统代替或代表不同于符号自身的其他事物、现象、过程,无非是由于符号的解释者依据一定
以昆明市掌鸠河引水供水工程普渡河倒虹吸为工程背景,建立了水力学与结构动力学相结合的水弹性模型,在此基础上,采取模型试验和计算机数值模拟计算两种方法,对普渡河倒虹吸管
一座结构寿命终止并非指结构已经倒塌破坏。提出了基于可靠性与经济优化相结合在役凝土结构剩余使用寿命的评估准则,并建立了在径混凝土结构剩余使用寿命预测的优化模型。通过
目的为提高胶囊内镜诊断不明原因消化道出血的诊断率,探讨影响胶囊内镜诊断不明原因消化道诊断率的因素。方法胶囊内镜检查172例,其中不明原因的消化道出血的患者61例,分为2
简要地论述了国内外对透明陶瓷的研究现状 ,重点介绍了透明陶瓷制备中出现的新方法和新工艺 ,探讨了气孔和晶界组织结构等因素对透明陶瓷的透光性能的影响 ,并对透明陶瓷研究
目的 探讨IFNα联合甘露聚糖肽治疗HBeAg阳性慢性乙型肝炎(CHB)的临床效果.方法 选择80例HBeAg阳性CHB患者,随机分为治疗组和对照组,各40例,HBV DNA载量为103~108拷贝/mL.治疗
提出了一种用于制作二维光束整形衍射光学元件的新方法--离子束平动刻蚀工艺.分别介绍了利用这种新方法设计衍射光学元件的原理、设计过程以及刻蚀工艺系统的构成和掩模板的
目的 分析急性胰腺炎(AP)患者胸腔积液的发生率,探讨胸腔积液与病情严重程度的关系.方法 回顾性分析766例AP患者胸腔积液的发生率及其与发病年龄、性别、Ranson评分、CT分级(