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Wysłany: Śro 15:22, 09 Mar 2011 |
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Artificial hip joint instability factors and prevention
23 No. 4 ChinJTrauma. April2007. V01.23. N0.4 premise cover ,[link widoczny dla zalogowanych], clear acetabular osteophyte proliferation and prevent collisions. On holiday body position correctly , paying particular attention to acetabular prosthesis asked match between the first and not be confused by the angle of joints . Tryout of the application is very important, essential. Retain and repair the joint capsule as possible to maintain the tension and joint stability. The choice of prosthesis can be used with a hat or super steady increase in the radius of the acetabulum , but the place to note the location , otherwise there will be collisions. Also can be used to increase the ways to increase the eccentricity of the tension of the acetabulum , when poor muscle tone in the acetabulum can be restricted to prevent dislocation. Shapiro and so that the restriction of acetabular prosthesis can effectively reduce the incidence of postoperative dislocation . Within 3 months after hip flexion should be careful not to over- cross-legged (as low stool to sit ,[link widoczny dla zalogowanych], wash basin Tang Deng ). Dislocation of total hip dislocation treatment to first analyze the reasons ,[link widoczny dla zalogowanych], for these reasons take the appropriate treatment j. According to the classification of hip joint instability ,[link widoczny dla zalogowanych], under normal circumstances , I type with closed reduction and cast immobilization, or removal of the structural factors that may cause dislocation , Ⅱ type of surgery used to adjust the position of prosthesis , Ⅲ type of surgery to remove the imbalance around joints Factors , Ⅳ -type prosthesis surgery to adjust the location , while the use of special anti- dislocation of the device. Most of the dislocation is mainly treated with closed reduction methods , according to the different dislocation of the hip abduction different cast immobilization . Dislocation of the hip flexor , the use of straight abduction cast immobilization ; including closing external rotation anterior dislocation , the use of hip flexion abduction and internal rotation position cast immobilization. Plaster immobilization for 3 to 6 weeks. Invalid or cast immobilization in patients with recurrent dislocation , dislocation should consider surgery to remove the factors . By adjusting the position of the prosthesis , removing collision, poor muscle tone used in the anti- dislocation of the device.
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