目的比较倒置股骨远端微创内固定系统（LISS）与股骨近端防旋髓内钉（PFNA）治疗老年股骨近端骨折合并髋关节内翻畸形的临床疗效。方法回顾性分析2009年1月至2012年12月采用PFNA和倒置LISS钢板内固定治疗的且随访时间均超过10个月的45...目的比较倒置股骨远端微创内固定系统（LISS）与股骨近端防旋髓内钉（PFNA）治疗老年股骨近端骨折合并髋关节内翻畸形的临床疗效。方法回顾性分析2009年1月至2012年12月采用PFNA和倒置LISS钢板内固定治疗的且随访时间均超过10个月的45例老年股骨近端骨折合并髋关节内翻畸形患者的病例资料,其中采用LISS倒置钢板治疗者22例（LISS组）,采用PFNA内固定治疗者23例（PFNA组）,两组患者术前一般资料比较差异均无统计学意义（P〉0.05）,具有可比性。比较两组患者的术前美国麻醉学会（American Society of Anesthesiologists,ASA）评分、手术时间、术中出血量、骨折复位质量、住院时间、术后负重时间、骨折愈合时间、颈干角丢失情况、术后并发症发生情况以及术后8个月髋关节Harris评分等。结果所有患者获得10～13个月的随访,平均11.8个月。两组术前ASA评分、手术时间、术中出血、骨折复位质量、住院时间、术后8个月髋关节Harris评分及术后并发症方面比较差异均无统计学意义（P〉0.05）;LISS组钢板倒置完全负重时间和骨折愈合时间较PFNA组延长[分别为（16.8±3.5）周、（30.4±11.9）周vs（9.7±1.9）周、（18.3±7.4）周;P值均〈0.05],两组术前及术后颈干角差异无统计学意义,随访10个月后,LISS组和PFNA组颈干角差异有统计学意义[（125.1±7.1）°vs（121.3±7.4）°,P〈0.05]。结论 PFNA可允许老年股骨近端骨折合并髋关节内翻畸形早期负重,但对于骨质疏松严重、内固定切割风险较高的患者,LISS钢板倒置可降低术后髋内翻的发生率。展开更多
The prominent linear dyke ridges outcropped in the Narmada-Tapi dykes’ swarm represent an intrusion in the Deccan Traps. Understanding the relationship among the underlying geological structures, the strike of the dy...The prominent linear dyke ridges outcropped in the Narmada-Tapi dykes’ swarm represent an intrusion in the Deccan Traps. Understanding the relationship among the underlying geological structures, the strike of the dykes, and the channel patterns is essential. Dykes act as obstructions to stream flow, causing diversions, and their geometry and patterns significantly impact the rivers and streams that drain and cross the dyke swarm zone. For this study, Google Earth images, LISS III images, and Cartosat DEM were used to delineate the Shivan basin and extract dyke features. The Shivan River basin is a sixth-order drainage system that reflects superimposed drainage systems within the Tapi dyke swarm zone. About 65% (169 km2) of its area is controlled by dyke orientation. The dyke ridges align predominantly in an East-West (E-W) direction, a pattern mainly followed by lower-order streams, which have developed an insequent, transverse drainage network within the dyke swarm zone. In the lower parts of the Shivan basin, where the number of dykes decreases, the drainage network follows the general slope and is oriented in a North-South direction. The Shivan River and its tributaries have partially adjusted to the dyke orientation, resulting in a transverse drainage pattern in areas characterized by parallel dyke ridges.展开更多
文摘目的比较倒置股骨远端微创内固定系统（LISS）与股骨近端防旋髓内钉（PFNA）治疗老年股骨近端骨折合并髋关节内翻畸形的临床疗效。方法回顾性分析2009年1月至2012年12月采用PFNA和倒置LISS钢板内固定治疗的且随访时间均超过10个月的45例老年股骨近端骨折合并髋关节内翻畸形患者的病例资料,其中采用LISS倒置钢板治疗者22例（LISS组）,采用PFNA内固定治疗者23例（PFNA组）,两组患者术前一般资料比较差异均无统计学意义（P〉0.05）,具有可比性。比较两组患者的术前美国麻醉学会（American Society of Anesthesiologists,ASA）评分、手术时间、术中出血量、骨折复位质量、住院时间、术后负重时间、骨折愈合时间、颈干角丢失情况、术后并发症发生情况以及术后8个月髋关节Harris评分等。结果所有患者获得10～13个月的随访,平均11.8个月。两组术前ASA评分、手术时间、术中出血、骨折复位质量、住院时间、术后8个月髋关节Harris评分及术后并发症方面比较差异均无统计学意义（P〉0.05）;LISS组钢板倒置完全负重时间和骨折愈合时间较PFNA组延长[分别为（16.8±3.5）周、（30.4±11.9）周vs（9.7±1.9）周、（18.3±7.4）周;P值均〈0.05],两组术前及术后颈干角差异无统计学意义,随访10个月后,LISS组和PFNA组颈干角差异有统计学意义[（125.1±7.1）°vs（121.3±7.4）°,P〈0.05]。结论 PFNA可允许老年股骨近端骨折合并髋关节内翻畸形早期负重,但对于骨质疏松严重、内固定切割风险较高的患者,LISS钢板倒置可降低术后髋内翻的发生率。
文摘The prominent linear dyke ridges outcropped in the Narmada-Tapi dykes’ swarm represent an intrusion in the Deccan Traps. Understanding the relationship among the underlying geological structures, the strike of the dykes, and the channel patterns is essential. Dykes act as obstructions to stream flow, causing diversions, and their geometry and patterns significantly impact the rivers and streams that drain and cross the dyke swarm zone. For this study, Google Earth images, LISS III images, and Cartosat DEM were used to delineate the Shivan basin and extract dyke features. The Shivan River basin is a sixth-order drainage system that reflects superimposed drainage systems within the Tapi dyke swarm zone. About 65% (169 km2) of its area is controlled by dyke orientation. The dyke ridges align predominantly in an East-West (E-W) direction, a pattern mainly followed by lower-order streams, which have developed an insequent, transverse drainage network within the dyke swarm zone. In the lower parts of the Shivan basin, where the number of dykes decreases, the drainage network follows the general slope and is oriented in a North-South direction. The Shivan River and its tributaries have partially adjusted to the dyke orientation, resulting in a transverse drainage pattern in areas characterized by parallel dyke ridges.
