Dyeing is good, the report is as follows: 1 clinical data 1. General data from January 1995 to August 1999, a total of 47 cases of long bone oblique spiral fractures, including 38 cases of lag screw, 31 cases of men . There were 7 females, 4 years old, 1867 years old, 4 cases of tibia, 6 cases of femur, 28 cases of tibia, 3 cases of lag screw, 32 cases of lag screw with plate, 3 cases of lag screw and external fixation, and collected in our department of orthopedics. In January 1993, 33 cases of oblique spiral fractures were treated with lag screws, including 3 cases of humerus, 4 cases of femur, 26 cases of tibia, 16 cases of external fixation by plaster, 15 cases of internal fixation of plate, external fixation. 2 cases were treated as control group 1.2 Surgical method 1.2.1 The lag screw used was domestic human 0 cortical bone screw. In the oblique spiral fracture of the patellar femur and other bone fractures, according to the fracture end, after the reduction of the oblique and spiral fracture, the fracture end is fixed by the rupture line with two lag screws, so that the fracture end is temporarily reset. And fixed, and then according to the fracture situation, the patient's age, location and 26 cases of acetabular dysplasia in the hospital, 1 case of 18-year-old children, due to chronic infectious diseases, no surgery, the remaining 25 cases OK, pelvic incision in the bones of the scorpion, water and water. Extrusion of the joint capsule, after the single hip herringbone plaster is fixed for 4 weeks, the skin traction of the plaster is removed, and the early hip function exercise is encouraged, thereby ensuring the maximum recovery of the hip joint function after surgery. For children with severe major hip dislocation and closure, there may be complications of acetabular dysplasia, and some may even appear after the elderly. Therefore, long-term regular follow-up examination is necessary, at least until the skeletal maturity of children is followed. At the same time, in order to improve the hip joint femoral head and hip relationship, early prevention of osteoarthritis, we recommend that for those over 5 years old with acetabular dysplasia, the corresponding hip hospital technical conditions should be used as soon as possible, and the lag screw can be used separately. Can also be used with steel plate internal fixation, or with! For example, the most common humerus is treated with a slanting spiral lamp. After the fracture end is exposed, the fracture end is temporarily fixed with a lag screw, and then the inner hole is fixed, the later hole is drilled, the screw is screwed, etc. Card operation is more convenient. The history of the fast fracture end is stable and it is not easy to shift loose. The fracture surfaces are in contact with each other, and the fracture space is obviously reduced or disappeared. The healing of the Li-10 fracture is a butterfly-shaped bamboo fold. The large-sized powdered bamboo folds are fixed by a plurality of lag screws, which facilitates the anatomical reduction of the fracture. And try to restore the integrity of the structure, to avoid bone defects, such as bone defects, especially on the pressure side, should be performed at the same time, bone grafting, the use of iliac bone graft for the treatment of nails with bone external fixator The end is fixed and fixed, and then the bone round needle is used. When the upper and outer fixation frames are used, it is also convenient. The fracture is not easy to be displaced in the long oblique fracture. In the fracture with symmetric size of the fracture block, 23 lag screws can also be used separately. Such as the shin bones. Respiratory external fixation was needed after operation, and the time of external fixation was appropriately extended. In the control group of 1.22, 33 cases were treated with manual reduction, 16 cases of external fixation by gypsum, 15 cases were fixed by domestic automatic compression plate, and semi-ring type was adopted. Two cases of 1.3 cases treated with external fixator were followed up for one month. In the treatment group, 38 cases of oblique spiral fractures with lag screws were significantly different from the illuminating group in terms of anatomical reduction rate and fracture reduction ratio. After the fracture was accurately reset, the fractures were more tightly contacted, the fracture gap was reduced, and the same sacral surgery was used in our hospital. The pelvic osteotomy was used to treat the hips with a satisfactory effect. The value was recommended.
1 Ji Shijun, waiting. Clinical and research of congenital hip dislocation. Shenyang Publishing House, 1994, 17 4 Liu Lijun, et al. Congenital dislocation of the hip was closed in 551 cases. 5 Chinese children outside the German language, and so on. Non-surgical treatment of 421 cases of congenital dislocation of the hip. Medicine, 1996, 3170199902 received, with, one person, 131 service, 1 touch his toes. 1 cell ratio, move 1.
There is a lateral compression force that is conducive to the healing of the fracture, and the fracture healing time in the treatment group is also within the normal range. The control group did not use lag screws. It is not easy to dissect and reset, the fracture gap is large, the fracture healing time is delayed, the fracture gap is reduced, and the healing time is statistically treated. Households 0.05 2 Discussion 21 In the oblique spiral fracture of the long bone of the limb, the lag screw can be flexibly used according to the fracture condition. . When using open reduction and internal fixation, the anatomical reduction is required, and it is required to restore the integrity of the bamboo structure to avoid bone defects. 2. The lag screw can help. Professor Xu Xiang believes that the oblique fracture meets the steel plate and the fracture line using La Nai Luo solid 1, the best, the highest safety. 1 Between the broken ends, the lag screw is used to fix the gap, and the stress on the steel plate is small when the load is loaded. 1. Generally negative to the upper limbs, squatting fat, feeding the scorpion, stupid, applying lag screws, in the oblique fracture of the humerus, especially when the humerus is intact, when the size of the upper and lower fractures of the slope is basically symmetrical, It can be fixed with only 23 lag screws, but it needs reliable plaster external fixation after operation, and the length of the external fixation is appropriately extended. The 7-inch femur is inclined, and the lag screw cannot be applied alone. It must be combined with strong internal fixation. For example, if the pressurized steel plate is temporarily fixed by the lag screw, when the steel plate is fixed internally, or when the external fixator is installed, the subsequent drilling and tapping screw and the needle are more convenient and quick, and the fracture is not easy. Displacement can better ensure the anatomical reduction of the fracture, and ensure the correct use of the lag screw in the operation of the operation 2.2. The lag screw must be perpendicular to the axis of the backbone. The head expands the import, so 1 increases the pressure between the bones, reduces the fracture gap, better stabilizes the fracture, and is conducive to the healing of the fracture. For the dish fracture, or the large comminuted fracture, first fix the slant with 12 lag screws. The longer end is easy to fix, and then the other end is fixed. The direction of the nail should be the bisector of the perpendicular line of the fracture line and the vertical line of the backbone. The fracture end should be fixed firmly in the operation, otherwise the fracture gap will be wide after the displacement. Loss should be 1 still like a shirt, so regardless of the open piece, closed. Sexual bamboo prayers should be strictly controlled and should be symptomatic.
1 Dong Tianhua. A few questions about the treatment of fractures. Chinese Journal of Orthopaedics, 1996, 16 2 Xu Yuxiang, et al. There are several basic questions in the current treatment of fracture internal fixation. Editor of the Chinese Orthopaedic Miscellaneous 3 Uk Lunshaw. Through the state auxiliary compilation. Campbell orthopedic surgery. 7th edition. Shanghai Shanghai Translation and Publishing Company, 199756 Clinical Analysis of Different Treatment Methods for Infants and Children with Asthma Ye Xiaoxiu 1. Li Hongmei, Liang Yulan, Jian Guojiang Gan, Lin 1 Objects and Methods In 1998, 177 children with asthma in hospitals and outpatients in our hospital, diagnostic criteria and severity of illness According to children's asthma prevention and treatment routine 4 were randomly divided into 4 groups, human 8, sputum, sputum sputum sputum, the group was the control group, there was no significant difference in the genetic history and severity of the individual's allergic history among the groups. 2 Methods The treatment group started treatment after the acute exacerbation of asthma. The group of 40 patients was treated with allergen allergen desensitization treatment. The 19 kinds of antigen house dust mite cotton pillow pad mattress material was used for multi-price feather multi-price beast. Silk silk cigarette spring pollen 1 spring pollen spring pollen 1 positive summer autumn pollen 1 summer autumn flower wormwood pollen multivalent fungus 1 multi-valent fungus multi-valent fungus melon multi-valent insects èž‚ èž‚ extract 00 胙 skin test, with 0. æ½ hydrochloric acid tissue Amine was used as a positive control, and normal saline was used as a negative control. For those who were positive, they were treated with intermittent subcutaneous injection of positive antigen. There were many positive choices for those skin tests that caused clinical symptoms. The four kinds of antigens with a large degree of reaction are prepared as a mixture, and the initial concentration of the allergen immersion liquid is determined according to the skin reaction strength of the intradermal test. When the 00 allergen skin test is +, the initial concentration is selected as 106, + +, select 10 as the initial concentration, so that the arborvitae pollen needs to use the concentration of 000 for the intradermal test, + for the initial concentration of 10, ++ for the starting concentration of the first, and so on. The dose is increased every time, 1 until 2 times a week, a total of 10 times, after the concentration is increased to the melon 2, the concentration is maintained for 3 years, the domestic ketotifen is called, the bolt is used once, the long-term service甩8 groups of 43 patients were treated with a 1 ketone aerosol inhalation
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