Treatment of femoral head necrosis by core decompression and stem cells transplantation combined with Traditional Chinese Medicine / 中国基层医药

Objective To study curative effect of core decompression and autologous bone marrow stem cell transplantation combined with traditional Chinese medicine in the treatment of early femoral head necrosis (ANFH).Methods 30 patients with femoral head necrosis treated by different methods were divided into 3 groups: core decompression A group) 10 cases(12 hips) ;core decompression pus stem cells transplantation(B group) 10 cases(13 hips) ;core decompression pus stem cells transplantation combined with traditional Chinese medicine(C group) 10 ca-ses( 10 hips) ;The X-ray 、CT MRI、Harris score( HHS) .curative effect were observed.Results The phase of Ⅰ,Ⅱ,Ⅲ,in 3 groups didn't appear deformation and collapse at 3,6,12 months;The score of Harris after 12 months 93 points were higher than that preoperatively 57.5 points(χ 2= 5.81 ,P<0.05) ;The signal ratio of femoral head volume in MRI was 42% before treatment,disappearance of femoral head necrosis after treatment;Total curative effect of B,C group,werehighter than that Agroup(χ2 =3.81,χ2 =3.98,P<0.05).Conclusion The operative treatment of ANFH with core decompression and stem cells transplantation combined with traditional Chinese medicine had the advantage of minimal damage,simplicity,accuracy,and effectiveness.

The Clinical Observation of Femoral Neck Fracture in Young and Mid-die-aged by Many Treatment Methods / 中国现代医生

Objective To study the characteristics and therapeutic effect of femoral neck fractures in young adults by many treatment methods. Methods 32 cases with femoral neck fractures in young adults 21-50 years. Using of tube decompression of the femoral head involvement, fracture of drug injection, intravenous drip and so many ways of delivery, to regular observe their fracture healing and clinical efficacy. Results All 32 cases with femoral neck fracture postoperative follow-up 5-9 months to obtain bone healing;Follow-up to 1 year of hip joint function was basically normal,non-femoral head necrosis. Follow-up to 3 years,32 cases in 26 cases of excellent,good in 5 and poor in example 1. Example 1 due to poor weight -bearing walking premature and older (50 years) appear avascular necrosis of femoral head,the total hip arthroplasty. Conclusion The joint methods have an exact effect in patirnts with femoral neck fracture.The advantages were easy to operate,less trauma and fewer complications,fast recovery ,easy to promote.

MUSCLE-INSERTION DISPLACEMENT USED AS A TREATMENT FOR RECURRENT SHOULDER DISLOCATION / 解放军医学杂志

Han Jiangbo. Department of Theoretical Mechanics, Luoyang Industry College. Luoyang Since January 1982 we have relocated the insertion of a part of pectoralis major or deltoid muscle in the treatment of 5 cases of habitual dislocation of shoulder. After over a year of follow-up no recurrence of dislocation has been found in all the cases. The shoulder joint seemed to be stable, the range of movements increased, and disturbance in supination was corrected. The operative procedure was studied in fresh cadavers and human skeleton. Studies on mechanical model of shoulder joint, with theoretical calculation of changes in pronation after muscle displacement, showed that movements of pronation were remarkably increased after displacement of partial pectoralis major and deltoideus. It could also compensate the weatened subscapularis.