veoexrmpzt
Dołączył: 21 Lut 2011
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 Wysłany: Śro 13:20, 09 Mar 2011 Temat postu: UGG stivali sap mwc orgl opb |
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,[link widoczny dla zalogowanych]
Extension position of knee stiffness and early rehabilitation treatment
Ideological work,[link widoczny dla zalogowanych], to overcome the fear,[link widoczny dla zalogowanych], the patient must be able to take the initiative, engraved 1.4 results (see table) Fu Schedule Comparison of two treatment side note: Modified Group: followed up for 4 to 23 months. An average of I2.6 months. General Group: j mandarin duck clinic 6 to 49 months,[link widoczny dla zalogowanych], an average of 28.7 months. 2 to discuss the reasons for joint stiffness Zhen 2.1 (1) Yin intermediate muscle fiber degeneration and its surrounding tissue adhesions between. (2) adhesion of the suprapatellar bursa. (3) between the patella and femoral condyle adhesion. (4) patellar support with fibrosis and shortening,[link widoczny dla zalogowanych], and with the femoral condyle of sticking together. (5) rectus femoris muscle scar contracture. (6) concave condylar asked adhesion. 2.2 holmium laser lysis and lysis of the advantages of improved quadriceps holmium laser is 8O 2.2.1 came out late, flashing light activated by krypton paste YAG <Yttrium Aluminium Garnet A) crystal Ho on the elements and emits a near infrared wavelength 2.1/an not visible, can be high absorption of water, with cutting, vaporization and hemostasis J. HENRY. 【And Alex Wang H, 3 Per capita experimental and clinical studies confirm holmium laser is ideal for supporting arthroscopic instruments. The group took advantage of the role of holmium laser cutting to release the adhesions of knee joint tissues, and because of its role with bleeding after surgery to avoid intra-articular fluid accumulation of blood stitch, to prevent re-adhesion, and its role in avoiding the vaporization technique occurred after intra-articular foreign body synovitis. L cases of 23 patients without postoperative hemorrhage intra-articular effusion. L cases of postoperative synovitis. May be due to intraoperative gross operating. Effects of holmium laser lysis practical and reliable, this group of patients with comminuted patellar fractures l lO months after knee excitement is 5. ~ L2. By simple intra-articular release after holmium laser activity can reach 0. 100. . Satisfactory. After 28 cases of normal quadriceps forming intra-articular effusion in 4 cases, 5 cases of synovitis. 2.2.2 Improved quadriceps arthroplasty knee has not reached the level of the incision, in conjunction with the holmium laser arthroscopic knee surgery weeks of injury is small, so after functional exercise skin necrosis when the incidence of knee down to the lowest point, the group of l 3d after surgery found that patients with skin blood flow before Restraints poor functional training through the process of slowing down to avoid skin necrosis, the reason is that the risk of internal fixation for a long time (19 months) activity difference (5.). Conventional group 28 cases, 3 cases of postoperative skin breakdown, skin necrosis in 2 cases, resulting in surgical failure. And 1 case of this group without these complications. Factors or extra-articular intra-articular factors mainly due to the long-term stock Beirut between joint stiffness and muscle fibrosis, adhesion J, so cut or removed shares of the middle muscle is the key to postoperative outcome. The same time, vastus lateralis, vastus medialis and rectus Yin complete separation of the gap by muscle and the vastus medialis and vastus lateralis muscle under the suture in the rectus femoris, the establishment of a good slide mechanism is conducive to functional recovery . The group also release the knee out of 9 cases of internal fixation. 2.3 Training of early postoperative functional recovery after sustained critical to the success of the surgery J, if neglected this point, the inevitable re-release of tissue adhesion, and thus hinder the joint activities. Whether the intraoperative release of tissue damage fully and directly affect the degree of postoperative functional exercise. We stand for the first 48h after application of CPM functional exercises started, while application of non-steroidal anti-inflammatory drugs 2 weeks, both to reduce patient suffering, but also can reduce the local inflammatory response. The patients were preoperatively thought to work to eliminate their fear, so that it can be an early, continuous, active functional exercise. If the application of surgery or injury of the rectus femoris rectus femoris lengthening surgery, functional exercise should be postponed until after 10d after surgery, this surgery less effective, should be avoided. Reference text Hz: [1] ainOrthmdRdat ~ Research.1995.310: 14. [3] Alex Wang Jiang Changming, Qi Zhiming, et al. holmium laser in bone and joint surgery in basic research and clinical application. Spine, 1997,1:29 [4】 shaving Jade Jie, Liu security, Lu Shi wall, and so on. knee surgery adhesions orange solution of common complications. Journal of Trauma, 1997,5 (13): 319. [5] Wang Haiyi, Wu Zhendong, Zhang Yunqi, et al. quadriceps forming new surgery. Spine, 19 Pina, 8 (4): 297. (the closing prayer 01998-12.18 exhausted back to 1999.02.23】
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