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2016年浙江省骨科学学术年会

作者： Hongwei Chen Ziyang Wang Jun Li Department of Orthopedics Yiwu Central HospitalAffiliated Hospital of Wenzhou Medical University

This study aimed to explore the clinical effect of the coronoid process fractures with anteromedial ap-proach.18 cases of coronoid process fractures treated with the anteromedial approach were *** of injury included traffic injuries in 3 cases and fall on the ground in 15 *** were 6 cases of type Ⅰ,10 cases of type Ⅱ,and 2 cases of type Ⅲ according to the O’Driscoll *** time from injury to operation was 2-10 days(mean,3.9 days).Fractures were fixed by using mini-plate or *** cases were followed-up for 12-24 months(average 14.9 months).The bony union time was 8-14 weeks with an average of10.6 *** mean flexion at last follow-up was 122°(range,90°-140°),the mean extension loss was 20°(range,0°-50°),and the mean pronation was 67°(range,22°-90°),while the mean supination was 61°(range,30°-88°).Elbows were stable in the flexion-extension and varus-valgus in all *** to the MEPS elbow performance score,results were excellent in 14 cases,good in 3 cases and fair in 1 *** to the Broberg and Morrey elbow performance score,results were excellent in 9 cases,good in 4 cases,and fair in 1 *** conclusion,the antero-medial approach facilitates the reduction and fixation of the coronoid process fractures and has advantages of clear exposure,convenient placement of internal fixation,small invasion and good clinical results.

关键词： Unlar fracture fracture fixation internal anteromedial approach

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Treatment of the coronoid process fractures with anteromedial approach:a case report

Treatment of the coronoid process fractures with anteromedia...

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2016年浙江省骨科学学术年会

作者：陈红卫义乌市中心医院

关键词： Unlar fracture fracture fixation internal anteromedial approach

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Redislocation Following Zigzag Osteotomy Combined with Fibular Allograt for Dislocation of the Hip in Children

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Open Journal of Orthopedics 2016年第4期6卷 86-97页

作者： Nguyen Ngoc Hung National Hospital for Pediatrics Ha Noi Viet Nam

We have reviewed 17 patients (18 hips) who required repeated open reduction for recurrent or persistent dislocation after a previous attempt at zigzag osteotomy combined with fibular allowgraft for developmental dysplasia of the hip (DDH). The purposes of this study were to examine predictors of redislocation and to evaluate the long-term outcomes after revision surgery. The mean age at primary open reduction was 24 months (13 to 36). The median time to the recognition of failure was 4.6 months. The second reduction was performed at a mean age of 26.3 months (17 to 42) and the mean age at final follow-up was 79.7 months (58 to 105) and the mean time follow-up was 42.4 months (37 to 76). We treated the hips with a new open reduction through an anteromedial approach. A constricted anteromedial capsule was always found as the main factor;all had an intact anteromedial capsule, and there was an inverted transverse ligament in five cases and a very tight psoas tendon in another four cases, eversion of the limbus in six cases, densing anterior capsule in five cases. We perform with the condition that all hips were cleared of scar tissue;five hips had adductor tenotomy;four hips required release of the psoas tendon, five eversion of the limbus. Release of the transverse ligament was required in five cases each. All hips with Kirschner wire through the femoral head into the acetabulum. Three hips required femoral shortening (average of 1.5 cm);a derotation varus osteotomy was performed in two hips from ten and twelve weeks after repeated open reduction. Postoperative results according to modified McKay criteria for clinical: excellent: 3 of 18 hips (16.7%);good: 8 of 18 hips (44.4%);fair: 6 of 18 hips (33.3%);and poor: 1 of 18 hips (5.6%). We suggest that technical failure is usually the cause for redislocation with all that has an intact anteromedial capsule. There was an inverted transverse ligament, tight psoas tendon, eversion of the limbus, and densing anterior capsule

关键词： DDH Redislocation anteromedial approach Salter Innominate Osteotomy Femoral Shortening

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