关节功能

CT三维成像观察正常寰枢关节功能位的解剖学研究

Anatomic study on normal atlanto-axial joint in the functional position by using CT three-dimensional imaging method

腕关节功能指标的动态MRI研究

Dynamic MRI of the Functional Factors of the Wrist

结论：CT三维成像能清楚显示寰枢关节功能位的解剖结构。

Conclusion : CT 3D imaging can clearly show the anatomical structure of normal atlanto-axial joint in functional position .

经t检验，两组术后半年患肢髋关节功能优良率有显著差异，P0.05。

Excellent rate of postoperative six months limb hip joint function by t test , significant differences ( P 0.05 ) .

结果无论在手术时间、膝关节功能恢复所需时间以及随访时的临床疗效，髌骨爪组均优于改良张力带钢丝组（P均<0.05）。

Results Patella catching group had less operation time , less knee functional recover time and better clinical effect at follow-up than improved tension band steel wire group ( P < 0.05 ) .

评价：利用Harris评分对患者术前和末次随访时髋关节功能进行评估。

Clinical evaluation of the joint function of both preoperative and postoperative was performed by Harris hip score .

联合螺钉组关节功能优良率优于单纯DHS组（P＜0.05）。

The function of joint in DHS combined tuberosity tension screw group was better than that in DHS group ( P < 0.05 ) .

结果治疗组在起效时间、缓解疼痛和改善关节功能等方面均优于对照组（P0.05）。

Results : The effect-acting period was shorter , and pain relief and knee function improved better in treatment group than in control group ( P 0.05 ) .

术后3、6个月随访时采用Harris髋关节功能评分，分别为90.7分和92.2分。

The scores was 90.7 and 92.2 respectively after 3 and 6 months follow up according to Harris hip joint score .

结果随访1～8年，通过X线、CT检查及膝关节功能评定，其优良率为88%。

Results Follow up had been done for 1 ~ 8 years . According to the results of X ray , CT and function evaluation , the excellent and good results amount to 88 % .

结论ACL重建术后早期进行综合康复训练明显有利于膝关节功能的恢复。

Conclusions The early rehabilitation exercise after the reconstruction operation is helpful to the recovery of function of knee joint obviously .

目的：利用CT三维成像观察正常寰枢关节功能位的解剖结构，为诊断寰枢关节不全脱位探讨解剖学基础。

Objective : To observe anatomic structure of normal atlanto-axial joint in the functional position by using CT three-dimensional imaging ( 3D ) method , and to establish anatomic foundation for the diagnosis of atlanto-axial subluxation .

术后定期复查X线片、多普勒血管超声，其中3例行ECT核素骨扫描，并作关节功能评定。

After operation , all patients were evaluated by radiogram , Doppler ultrasonic wave , nuclide ECT scan and the joint function were also assessed .

结论TKA术后早期康复功能锻炼配合CPM机锻炼可促进膝关节功能恢复。

ConclusionThe early rehabilitation training combined with CPM can improve recovery of function of knee joint after TKA .

并随访8～20个月，运用Harris膝关节功能评分评价功能恢复情况。

The follow-up was carried out for 8-20 months , and Harris knee joint functional evaluation was adopted to evaluate the functional recovery condition .

方法应用动力髁螺钉（dynamiccondylarscrow，DCS）内固定并一期植骨治疗股骨远端严重粉碎骨折21例，对术后膝关节功能进行评价。

Methods 21 cases of severe comminuted fractures of distal femur were treated with dynamic condylar screw internal fixation and primary bone grafting . Their postoperative knee functions were evaluated .

肘关节功能方面，包括肘关节屈曲、旋前、旋后功能方面，术后第14天开始至第6个月，置换组都明显优于切除组（P0.05）。

Elbow function , including elbow flexion , pronation and supination function , until 14 days after the first 6 months , the replacement group were significantly better than the resection group ( P0.05 ) .

所有患者于术前及术后15d，3个月和6个月行双髋关节功能、常规X线片、ECT、CT和MRI检查。

The regular examinations of joint function , X-ray , ECT , CT and MRI were conducted before surgerg and after 15 days , 3 months , and 6 months of surgery .

Harris评分，髋关节功能术前为21-35分，术后15髋提高到84-93分，3髋提高到74-78分。

The function of hip joint was improved remarkably by Harris score which was 21-35 before operation and 84-93 in 15 cases and 74-78 in 3 cases after operation .

治疗8周后，观察两组关节功能的恢复情况、药物的不良反应及对血沉（ESR）、类风湿因子（RF）、C-反应蛋白（CRP）、免疫球蛋白的影响；

After 8-week treatment , function of joint , adverse reactions , erythrocyte sedimentation rate ( ESR ), rheumatoid factor ( RF ), C-reactive protein ( CRP ) and immunoglobulins levels were observed .

结论桡骨远端B、C型骨折通过手术治疗能有效地恢复桡骨远端的解剖结构，使腕关节功能达到最佳恢复，提高桡骨远端关节内骨折的疗效。

Conclusion Operative treatment of the B and C type fractures of the distal radius can effectively restore the anatomic structure of distal radius , achieve the best recover of the wrist joint function and improve the curative effect for intra-articular fractures of the distal radius .

35例采用普通螺丝钉固定、Herbert螺钉固定的患者关节功能恢复良好，无疼痛，HSS膝关节评分均为优，X射线片显示：骨折全部愈合，关节面平整；

Functional recovery of joint was good , without pain , in thirty-five patients who were fixed with common screw or Herbert lag bolt . Score of HSS knee joint was excellent .

目的：总结与评价膝部手术后使用下肢持续被动运动机（CPM）加中药熏洗对患者膝关节功能康复的影响与护理要点。

Objective To conclude and evaluate effect of knee rehabilitation and the main points of nursing by CPM and fumigating and washing with chinese traditional medicine after knee operation .

25例术后平均随访16个月，关节功能Harris评分平均83分（78～86分）。

Twenty-five patients were followed up for 6 to 42 months ( averaged 16 months ), the hip function with Harris score was 83 in average ( 78 ~ 86 ) .

结论双钢板内固定治疗C型肱骨远端骨折，固定牢靠，复位较好，有利于患者早期行肘关节功能锻炼，在临床上可取得满意疗效。

Conclusion The treatment of the distal humerus fractures ( type-C ) with double plates has satisfactory results with good replacement and firm fixation of the elbow joint . It helps the patients to practise early exercises of elbow joints and it is a more effective method .

结果平均随访时间1年，传统手术治疗肘关节功能的优良率为20%，AO技术治疗的优良率为85%。

Results Average follow up period was 1 year . The rate of excellent or good elbow function was 20 % in traditional operative group and 85 % in AO technique group .

方法31例ACL重建术患者于术后1～9个月用超声检查重建韧带，并对膝关节功能进行评定。

Methods : 31 patients with ACL reconstruction underwent ultrasonography scan for 1-9 months after operation . The reconstructed ACLs were scanned . and the function of knee joint was evaluated .

髌骨骨折、胫骨平台及髁间嵴骨折采用Lysholm膝关节功能评分，为（86.5+7.6）分。

Lysholm knee joint function score was 86.5 + 7.6 for patellar fractures , tibial plateau frac - tures and condylar crista fractures .

结论关节镜下前交叉韧带重建术后的系统康复对患者肌力、ROM、ADL的恢复具有重要意义，有利于患者早日恢复膝关节功能，重返社会，恢复原工作。

Conclusion Systematic rehabilitation excises promote the recovery of the strength of the leg muscles , ROM , and ADL , which make the patients get excellent knee function , go back to work early .

方法给病人讲解RA基本知识，使患者正确掌握服药方法，对活动期病人给予生活护理，稳定期帮助及督促关节功能锻炼。

Methods Explain the basic knowledge of RA to make the patients master the correct method of taking medicine . Give life nursing to patients in active stage . Help and urge the exercise of joint function in stable stage .