简介:Abiomimetichipjointsimulatorthatcanbeusedtoevaluatetheoutcomeofthecementedtotalhipreplacementhasbeendesigned,manufacturedandevaluated.Thesimulatorproducesmotionintheextension/flexionplane,withasockettorotateinternal/externally.Atthesametimeadynamicloadingcycleisapplied.Avalidationtestwasperformedonacementedfemoralstemwithinanovelcompositefemur.Thebonequalityhasastrongeffectonthestemmigrationandontheintegrityoftheinterfaces.Themigrationofthestemisacombinationof3-Dtranslationandrotationofthestem.Underthesameloadingconditions,weakboneallowsmorestemmigrationthanstrongbone.Thereisagreatdecreaseinthestrengthofthestem-cementinterfaceafterthedynamictest,andtheweakbonecompositeexhibitedagreaterreductionininterfacialstrengththanthestrongbonecomposite.Thedecreaseoftheinterfacialstrengthindicatesthattheprimarybondingbetweenthestemandthecementmantlehaddeterioratedandtheintegrityofstem-cementinterfacewasdamaged.Thestudydemonstratesthevalueofusingahipjointsimulatortoinvestigatestemmigrationandinterfaceintegritywithinthecementedhipreplacement,suggestingthatmethodcanbeusedforinvitroevaluationofthebiomaterialsusedinthecementedhipreplacements.
简介:Objective:Toevaluatetheoutcomeoftotalhiparthroplasty(THA)withcementlesscupsandfemoralheadautograftsforpatientswithhipdysplasiaandosteoarthritis.Methods:Between1995and2002,weimplanted23cementlesscupsandfemoralheadautograftsin20patientswithhipdysplasiaandosteoarthritis.Inthisstudy,aretrospectivestudywasmadeon21hipsin20patients(18femalesand2males,aged50yearsonanaverage)withdevelopmentalhipdysplasiatreatedbyTHAwithacementlesscupandfemoralheadautograft.Theacetabularcupwasplacedatthelevelofthetrueacetabuinmandallthepatientsrequiredautogenousfemoralheadgraftsduetoacetabulardeficiency.Theaveragerateoftheacetabularcupcoveredbythefemoralheadautograftwas31%(rangingfrom10%to45%).Eighthipshadlessthan25%cupcoverageandthirteenbetween25%and50%.Theaveragefollow-upperiodwas4.7years(range,1-8years).ThereplacingoutcomewasevaluatedbymodifiedHarrishipscore.Preoperativeandfollow-upradiographsweremade.Results:Alltheautograftswereunitedtothehostbones.Noautograftwascollapsedornocomponentfromthehipwasloosedinallthepatients.AccordingtothemodifiedHarrishipscore,theaveragehipscoreincreasedfrom46beforeoperationto89atthefinalreview.Beforeoperation,theleg-lengthdiscrepancywasgreaterthan2cminallthepatientsexceptonewithbilateralhipdysplasia.Afteroperation,only2outof20patientshadaleg-lengthdiscrepancygreaterthan1cm.Threehipsshowedminorboneresorptioninthelateralportionofthegraft,whichdidnotsupportthecup.ThreehipsdevelopedGrade1BrookerheterotopicossificationandonedevelopedGrade2.Conclusions:THAwithacementlesscupandafemoralheadautograftforpatientswithosteoarthritisresultedfromhipdysplasiacanresultinfavorableoutcomes.Thismethodcanprovidereliableacetabularfixationandrestoretheacetabularbonestockinpatientswithdevelopmentalhipdysplasiawhenthe
简介:THEAPPLIEDSTUDYOFTHETOTALHIPREPLACEMENTFORTHEADULT'SCONGENITALDISLOCATIONOFTHEHIPATTHEPRIMARYACETABULUMTHEAPPLIEDSTUDYOFTHETO...
简介:Militarytacticalnetworkisoneofthemostimportantapplicationsofadhocnetwork.Currentlytheexistingroutingprotocolsareputforwardbasedonthesimpleanduniversalnetworkmodelwhichhastheabilityofmulti-hoproutingbutcannotworkefficientlyinthespecialmilitaryapplications.Thenarrowbandwidthandlimitedenergyofthewirelessnetworkmakegeneralroutingprotocolsseemtobemoreredundant.Inordertosatisfymilitaryneedsproperly,thislettermakesadetailedanalysisofphysicalnodesandtrafficdistributioninmilitarynetwork,usescross-layerdesignconceptforreference,combinestrafficcharacteristicofapplicationlayerwithroutingprotocoldesign.Itcategorizedroutingproblemascrucialroutesandnon-crucialrouteswhichadoptedseparatemaintenancemethods.Itnotonlyrealizesbasictransmissionfunctionbutalsoworksefficiently.Itisquitefitformilitaryapplication.
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简介:客观:为王牌探索起作用的指示和主要全部的新潮的关节造形术的起作用的方法平坦骨折并且观察临床的药品effect.Methods:我们回顾地总结了并且分析创伤的条件,破裂类型,复杂并发症,起作用的时间,起作用的技术,和11patients的短期的药品效果(10男性和1女性,与42的吝啬的年龄。4年)与王牌平坦骨折经历了主要全部的新潮的关节造形术。结果;病人被跟随在上面为6-45月(吝啬的=28月)。他们手术后的新潮的关节的普通哈里斯分数是78。结论:指示的Understrict控制,有平坦骨折可以经历的王牌的病人主要全部的新潮的关节造形术,而是稳定的王牌平坦部件应该被做。
简介:Objective:Toinvestigatetheinfluenceofhipandpelvicfracture,especiallyacetabularfracturecomplicatedbysciaticnerveinjuryonclinicalfeaturesandprognosisofsciaticnerveinjury.Methods:FromJanuary1987toJanuary2000,17patients(14maleand3female)whohadhipandpelvicfracturescomplicatedbysciaticnerveinjuryweretreatedwithoperativereductionandinternalfixationandfollowedupfrom10monthsto5years.Theaverageagewas38years(ranging23-56years).Theleftextremitieswereinvolvedin11patientsandtherightin6.Twelvepatientsunderwentprimaryexplorationandneurolysisand5patientsunderwentsecondaryoperation.Results:Preoperatively,8patientsweretreatedwithlargedosesoforalnarcoticstocontroltheirseveresciaticpain.Threeofthe8patientsunderwentpatient-controlledanalgesiaandepiduralanalgesia.Afteroperation,excellentandgoodratesofreductionandfunctionalrecoveryofsciaticnervewere94.1%and88%respectively.Fourpatientsstillhadsciaticpainand2patientsfailedtorecover.Sciaticnervefunctionimprovedwithin3-6monthsaftersurgeryin11patients.Conclusions:Hipandpelvicfracturescanresultinsciaticnerveinjury,especiallycommonperonealnerveinjuryandprognosisispoor.Openreductionandinternalfixationcombinedwithnerveexplorationandneurolysisshouldbeusedasearlyaspossibleforseveresciaticpain.
简介:Objective:tostudytheclinicalinfluenceoffemoralqualityoncementlesshipreplacementandtoevaluatecorticalindex(CI)forfemoralqualityinordertoguideprosthesischoiceandrehabilitation.Methods:forth-ninecasesofcementlesshipreplacementwerefollowedupforaverage3.5years,42ofwhonhadX-rayfilmsonpreoperationoroperationday.Results:Harrisscoresandpatients'satisfactionwerelowbutpainwassignificantandprolongedwhencorticalindiceswerelow.Conclusions:CIisareliablesemi-quantityparameterforclinicalevaluationoffemoralquality.Osteoporosispatientspredisposetothighpain.Lagforfull-weightloadingandavoidancefortorsionmotioncancontributetolesspainwhenCI≤2.2.