Objective To evaluate the functional outcome and long-term problems of a patient 39 years after forearm replantation.Methods The methods and criteria of the China Hand Surgery Association for limb replanta- tion were used to evaluate motion,muscle strength,sensation,cosmesis,and subjective symptoms.Dexterity in vo- cational and daily living activities was also assessed.Results The final evaluation score was 71,and the activities of daily living score was 14.Conclusion The replanted forearm was functioning well.Protective sensation had re- turned,but fine discriminative ability had not,nor had cold tolerance.

Objective To describe the characteristics of osteoporosis,and the methods of prevetion,rehabilitation.Prevention includes diet therapy,health education,exercise and prevetion of falling . Rehabilitation should include:fracture treatment combined with etiology treatment.It is emphasized that prevention is more important than treatment.

Objective To analyze the cause of poor stumps and to introduce the methods of treatment, so that the rate of poor stump would be decreased. Methods We evaluate 109 cases of lower limb amputees with a total of 110 residual limbs. Evaluation content included: Skin (scars, dermatitis, folliculitis, open wounds, tactile and pain sensation); characteristics of residual limb shape (conical, bulbous, edematous cylindrical); strength of the stump; range of motion of the residual limb; muscle tone; strength of the stump and phantom pain. Results Forty-six cases out of 110 are unqualified. All poor stumps can be fit with the prosthetic through rehabilitation care. Conclusion Poor stumps are those unsuitable for fitting of the prosthetic. Special treatments are required to fit them with prosthetic. Because of the improvement of the prosthetic technology, length of the residual limb is no longer the main obstruction for fitting prosthetic. Instead the skin soft tissue condition of the stump is becoming the main reason of failure in fitting the prosthetic.

Objective To study the best method for myoelectric feedback training and evaluate the effectiveness of myoelectric artificial hand. Methods Fourteen cases of upper limb amputees (11 male, 3 female, aged 25?8.69 years, right side 13, left side 3,totally 16 myoelectric artificial hands) were recruited for this study. The biofeedback training process was divided into three steps: basic signal of myoelectric feedback training, visible feedback training, and ADL function training. Results After the training, 16 myoelectric artificial hands could grasp, pinch and rotate wrist, and could perform ADL such as dressing, eating, cleaning. Conclusion To achieve the goal set for the myoelectric artificial hand, emphasis should be on locating the most stronger myoelectric signal of the stump and strengthening the feedback training.

Forty-five cases of paralyses resulted from cranio-cerabral and spinal cord war wound are analysed.The most prominent troubles of these pattients were found to be as follows: 25 cases had dysfunctionof sympathetic and parasympathetic nervous system; all of the patients suffered from wound infectionor decubiti and various degrees of dyskinesia of upper and/or lower limbs; three cases complicated withurinary or bowel incontinence. ultrashort wave and ultraviolet therapy were used to treat infected wound and decubiti: acupuncture,massage. drugs. and audiofrequency therapy were applied to accommodate the function of sympatheticand parasympathetic nervous system: and various forms of active and passive gymnastics, heating. andmassage were utilized to rehabilitate the athletic function or reconsttruct the athletic compensatorypower. The treatments continued for 2--6 months. All of the infections and decubiti cured completely; urinary and bowel incontinence was generallycontrolled; the athletic function was rehabilitated with various degrees depending upon the severity of thewar wound. 21 cases of these patients were cured perfectly. 5 cases improved markedly. 5 cases improvedslightly. and 14 cases showed no apperent change.

Objective To investigate the effects of rehabilitation therapy after revision of the totally replaced hip. Methods Forty one patients with various revision operations on the totally replaced hip were administered with rehabilitation exercises protocols different from those with the first time total hip replacement(THR), and evaluated with Harris hip function score before and after treatment. Results According to the rehabilitation therapy and exercise program that we planned meticulously, the hip function recovered well, and the total Harris hip function score of pain, function, ROM and deformity improved significantly from (39.71?6.68) to (76.37?11.23)( P

Objective To study the effects of the clinical pathway on hip arthroplasty. Methods Fifty patients with hip arthroplasty were selected. Twenty-three cases in the control group were treated with traditional methods, and 27 cases in the experimental group were applied with the clinical pathway for standardized treatment. Any differences in Harris scores, hospital costs and days in postoperative care at 1 week and 3 months were compared statistically between the two groups. Results Complications, hospital costs and average length of stay in postoperative care were significantly lower in the experimental group than among the controls. The Harris scores in postoperative week 1 were significantly higher in the experimental group than among the controls. Conclusion The clinical pathway using standard diagnosis and treatment can not only decrease hospital costs and average length of stay, it can also limit postoperative complications and quickly improve joint function, giving better quality medical care.