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脊柱侧凸的后路器械矫正
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作者 冯德 张沪生 +2 位作者 沈才伟 张伟滨 龚跃成 《上海第二医科大学学报》 CSCD 1996年第6期384-386,共3页
自1983年4月至1996年4月应用后路器械矫正脊柱侧凸畸形150例。特发性脊柱侧凸占128例。先期82例采用Harrington撑开,Luque法或Harrington加Luque结合法。自1992年以来68例选用... 自1983年4月至1996年4月应用后路器械矫正脊柱侧凸畸形150例。特发性脊柱侧凸占128例。先期82例采用Harrington撑开,Luque法或Harrington加Luque结合法。自1992年以来68例选用C-D器械矫正20例,Harrington撑开加棘突基部钢丝环扎26例,Harrington撑开加椎板下钢丝环扎22例,其平均矫正率分别达67.40%,62.74%和65.90%,效果满意。作者主张应早期手术,条件合适者首选C-D器械矫正。为获得畸形永久的稳定,关键是确实牢固的脊柱融合。 展开更多
关键词 脊柱侧凸 后路 C-D器械 手术矫正 骨科器械
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膝关节韧带不稳定的分类及检查
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作者 冯德 过邦辅 《中国综合临床》 1986年第4期251-253,共3页
膝关节是人体全身最大、结构最复杂的关节.其韧带有三个特点:1.韧带非常强大、当损伤时,常见附着部的骨片撕脱而韧带本身完整;2.韧带的位置及其附着有利于关节的运动,有利于维持关节的稳定;3.韧带有丰富的感觉神经支配,当损伤时,关节附... 膝关节是人体全身最大、结构最复杂的关节.其韧带有三个特点:1.韧带非常强大、当损伤时,常见附着部的骨片撕脱而韧带本身完整;2.韧带的位置及其附着有利于关节的运动,有利于维持关节的稳定;3.韧带有丰富的感觉神经支配,当损伤时,关节附近的肌肉反射收缩,以维持正常均匀协调的关节活动,起到一定的保护作用. 一、膝关节韧带损伤的分类膝关节韧带损伤时,发生关节不稳定,常见单平面、旋转、复合不稳定三大类,具体见附表及附图. 展开更多
关键词 胫骨结节 前交叉韧带 关节韧带 韧带损伤 膝关节 外侧平台 关节不稳定
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HYPERBARIC OXYGEN TREATMENT IN SPINAL CORD INJURY——EXPERIMENTAL AND CLINICAL STUDIES
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作者 汤华丰 过邦辅 +3 位作者 冯德 钱不凡 叶衍庆 徐鹏 《Medical Bulletin of Shanghai Jiaotong University》 CAS 1993年第2期26-30,共5页
Fifty male New Zealand rabbits were used. The ventral impact method ofproducing reversible cord injury was carried out with a force of 161 g-cm. 28 animalswere assigned to the hyperbaric oxygen (HBO)group, and 22 to t... Fifty male New Zealand rabbits were used. The ventral impact method ofproducing reversible cord injury was carried out with a force of 161 g-cm. 28 animalswere assigned to the hyperbaric oxygen (HBO)group, and 22 to the control group.Cortical evoked potential (CEP) was adopted as the method of observation at 6 hours, 1,2, 3, and 8 days after injury and pathologic. Examination was done. Measuremen of CEPand the recovery patterns of CEP were compared between the two groups. The HBOgroup showed a CEP recovery rate of 33.51% while in the control group the rate was2.14% with statistical significance (P【0.01). Electron microscopic examination showedthat in the HBO group, normal morphology of nervous fibers could be seen with intactcytoplasmic and nuclear membrane. The outlie of the mitochondria was clear. No obviousswelling of the axon and the sheath could be detected. Clinically there were 35 cases ofacute spinal cord injury undergoing hyperbaric oxygen treatment and among these 19 weredue to fracture-dislocation of the cervical spine and 16 due to fracture-dislocation of thethoraco-lumbar spine. Patients were kept under 2.5 ATA with pure oxygen mask, for 90minutes with interval of 3-4 hours and 3 treatments constituted one course. Out of the 35cases admitted for HBO treatment, 26 incomplete paraplegia patients showed complete orpartial recovery while there was no improvement in neural function in nine cases of com-plete paraplegia according to Frankel classification, there were 4 cases with improvementfrom A to D, 4 cases from B to D, 4 cases from B to E and 2 cases from C to D, im-plying marked improvement in neural function. 展开更多
关键词 HYPERBARIC OXYGEN SPINAL CORD INJURY
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肩关节零度位牵引在肩部损伤中的应用 被引量:4
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作者 马荣 张伟滨 +2 位作者 张沪生 冯建民 冯德 《上海第二医科大学学报》 CSCD 1996年第6期456-456,共1页
肩关节零度位牵引在肩部损伤中的应用上海第二医科大学附属瑞金医院骨科(200025)马荣,张伟滨,张沪生,冯建民,冯德炎临床需要固定的常见肩部损伤有,肩袖损伤、肱骨近端骨折、肩袖修补及肱骨近端骨折内固定等。目前常用的固... 肩关节零度位牵引在肩部损伤中的应用上海第二医科大学附属瑞金医院骨科(200025)马荣,张伟滨,张沪生,冯建民,冯德炎临床需要固定的常见肩部损伤有,肩袖损伤、肱骨近端骨折、肩袖修补及肱骨近端骨折内固定等。目前常用的固定方法是外展支架及颈腕悬吊。自肩关... 展开更多
关键词 肩部损伤 肩关节 零度位 牵引术
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