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Objective To explore the application value of three osteotomy in the treatment of severe hallux valgus.Methods 25 patiens with severe hallux valgus who were treated were selected.The results of surgical treatment and postoperative complications were retrospectively analyzed,and preoperative and postoperative AOFAS score,HVA and IMA were comparatively analyzed.Results AOFAS hallux valgus feet with reference to evaluation standard,35 foot excellent prognosis was 94.3％.Postoperative AOFAS score(88.7±5.2) compared to the preoperative (41.7±8.4) was significantly higher(P＜0.05),while the postoperative HVA values(10.2 ±2.1)° and IMA value (7.4±1.3)° compared to preoperative(55.7±14.2)° and IMA values(22.7±4.8) ° were significantly lower(P＜0.05).35 feet,the inside of the front foot after the numbness in 8 feet,metatarsophalangeal joints slightly limited by 3 feet,while the remainder were serious complication.Conclusion Three osteotomy for severe hallux valgus had acute efficacy and fewer complications,which is worth dirtical application.
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[Objective]To explore the surgical method and clinical effects for the treatment of old thoraco-lumbar vertebrral fracture with kyphosis and spinal cord injury[Method]Thirty-six patients with old thoraco-lumbar vertebral fracture with kyphosis and spinal cord injury from 1998 to 2003,all had undergone anterior decompression through posterior median approach.[Result]All patients were followed-up.Kyphosis was rectified well.The Frankle classification of all but 3 patients with complete paraplagia increased one or more degrees after operation.[Conclusion]Operation through posterior median approach can achieve anterior decompression effectively.
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Objective To investigate the applied value of combined flap that was anastomosed a set of blood vessels. Methods This team includs 26 cases, all cases were injured in traffic accident. The wound parts were knee, calf or ankle. All skin defaults was combined with osseous exposure, chronic inflammation and the wound area was huge. So all cases were terminal repair. After drastically debriding,the wound was repaired through transplanting combined flap that was anastomosed a set of blood vessels. The 6 types flaps were selected. It demonstrates signs of adequate circulation. Its longest was 70 cm, its largest was 42 cm x 42 cm. Results All flaps were alive, the wounds were closed up, the fractures were healed up, the feet or calves were reserved. All above was condition for function reservation. Conclusion THe applying of combined flap that anastomosed a set of blood vessels could substitutes the built-up flaps that was anastomosed a group of blood vessels. The procedure have spent smaller time, and have higher successful ratio. So it would be prone to applying and popularizing in clinical.