1 / 51

网行天下

网行天下. 马真胜. 1998 年女性 胸椎管狭窄 黄韧带骨化 小针刀治疗 瘫痪. Congenital Clubfoot. Infant just 10 hours after delivery. X-ray film check for this baby???. Right or not??. Presented on 2006-08-10. Novel Treatment of Bone Cyst in Humerus??!!.

ayanna-gibbs
Download Presentation

网行天下

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 网行天下 马真胜

  2. 1998年女性 胸椎管狭窄 黄韧带骨化 小针刀治疗 瘫痪

  3. Congenital Clubfoot Infant just 10 hours after delivery

  4. X-ray film check for this baby??? Right or not?? Presented on 2006-08-10

  5. Novel Treatment of Bone Cyst in Humerus??!!

  6. The Instrumentation have been lost?? It is there and wrongly placed (X-rayed in March, 2006)

  7. The Instrumentation have been lost?? It is there (X-rayed in May, 2004)

  8. X rayed on 10th, May, 2006

  9. X-rayed on 2006-05-18

  10. Pictured on 2006-08-06, supracondylar fracture of humerus after splint fixation

  11. Presented in OrthoChina on 2006-09-03, 3 days later after splint fixation for tibia and fibula oblique fracture

  12. Postop 9 months, Reconstruction plate for humeral facture? Pictured on 2006-10-10

  13. 始建于1998年 改版于2005年 目前注册人数达到25000人 已通过骨科医生身份确认逾7000人 流量达到5000人/天 纯骨科医生流量300/天 帖子量100-150/天

  14. 管理机构 • 管理员4人 • 版主18人，其中知名专家教授6人 • 苛刻的身份验证制度 • 严格管理 • 积分管理制度

  15. L1脊柱后凸畸形 • 通过网站和邮件讨论组: • www. OrthoChina.com • ChinaOrtho E-mail list: • ChinaOrtho@egroups.com • Orthopod E-mail list: • orthopod@mailbase.ac.uk • Spine E-mail list: • spine@mailbase.ac.uk

  16. 西京医院骨科全体医生 北京积水潭医院脊柱外科田伟主任 Dr. Robert Pashman, MD Director of Scoliosis, and Spinal Deformity Services, Cedars-Sinai Institute for Spinal Disorders in United States YONENOBU, Kazuo, MD Department of Orthopaedic Surgery, Osaka University, Postgraduate Medical School

  17. 南京鼓楼医院脊柱外科邱勇主任 MAD Ulloa • Orhopaedics&Trauma Service, CHU Santiago de Compostela, Spain Dilip Gopalakrishnan • Spine surgery service, Department of Orthopaedics & Neurosurgery, MSRMC, Bangalore, INDIA • Richard T. Holt, MD • Spine Surgery, PSC, Louisville

  18. 烫伤性脊柱侧弯 • 15岁男性 • 1月龄暖水袋烫伤 • 发化脓感染，肌肉坏死, 一月后愈

  19. 当地医院意见: • 后路脊柱内固定矫形植骨融合 • 2000.2.16--2000.7.2网上讨论 http://www.orthochina.com • 首先切除瘢痕，修复皮肤缺损 • 前路矫形固定，前路植骨融合

  20. 皮肤扩张器植入术后 (2000-2-16).

  21. 瘢痕切除，扩张皮瓣转移覆盖 (2000-4-5)

  22. Robert Pashman, MD Director Scoliosis and Spinal Deformity ServicesCedars-Sinai Institute for Spinal Disorders Paul Allcock, FRCS, Dundee, Scotland Jeremy Fairbank, Orthopaedic surgeon, Nuffield Orthopaedic Centre, Oxford OX3 7LD, UK, Tel +44 1865 741155, Fax +44 1865 744455 Prof. Yong QIU, Chief of spine deformity center, NanJing GuLou Hospital, NanJing University

  23. 互联网手术直播 2000-8-23 • 前路矫形内固定，椎体间植骨融合 • 中华骨科网、南京鼓楼医院与南京金陵热线合作

  24. 右髋关节肿瘤 • 30岁男性，右髋关节肿胀包块形成6年 • 临床诊断: 右髋关节恶性骨肿瘤 • 穿刺活检诊断不明确 • 治疗方案：骶髂关节离断术 • 患者拒绝截肢术

  25. Dr. Mayil Vahnan Nataraja • 有保肢体的可能性 • 亚太地区肌肉骨骼肿瘤学会主席 • Chief of the Orthopaedic Oncology Services, Adyar, Chennai, India

  26. 左侧肱骨干中1/3闭合性骨折 • 左侧股骨粗隆下闭合性骨折 • 右侧胫骨干中1/3闭合性骨折 • C. 正位像 • D. 侧位像

  27. 14个国家的36封电子邮件回复 • 大部分来自美国和英国 • 美国12人 • 英国8人 • 西班牙3人 • 马来西亚2人 • 尼泊尔2人 • 巴巴多斯岛, 比利时, 加拿大, 哥伦比亚, 埃及, 法国, 印度,荷兰,土耳其各一人.

  28. 参与者 • 英国的医生均为年轻医生, • 美国医生绝大部分为高年资医生(12位中9位的任Consultant的时间在10年以上) • 回答的用语： “根据我的经验(In my experience)”占有绝对的优势.此次调查中 • 36名反馈中, 就此同一临床病例, 有多达30种不同的治疗方案. • 医学是建立在临床经验之上的, 而不是单纯的事实上(In My Experience v/s Evidence Based Medicine.). • 环境和医生的经验在治疗过程中的重要性.

  29. Gorham-Stout-Syndrome

  30. Myles Clough Orthopaedic Surgeon, Kamloops, BC, CanadaClinical Instructor, University of British ColumbiaPresident, Internet Society of Orthopaedic Surgery and Trauma http://www.isost.comEditor, OWL (Orthopaedic Web Links) http://owl.orthogate.com Assem RostomConsultant Clinical Oncologist，The Royal Marsden HospitalDowns Rd, Sutton, Surrey SM2 5PT, UK

  31. Steven J. Fishman, MD Assistant Professor, Harvard Medical SchoolChildren’s Hospital Boston,300 Longwood Avenue, Fegan 3,Boston, MA 02115 E-mail: Steven.Fishman@tch.Harvard.edu • Ulrich Wesselmann, MD Department of Dermatology, University of WuerzburgJosef-Schneider-Str. 2, 97080 Wuerzburg, Germany

  32. 丹麦患者家属 Robert & Annette The site about lymphangiomatosis and Gorham’s Disease www.gorhams.dk

  33. 互联网: 一种新工具 • 网站: 工具专业化. • The OrthoChina Web: • 利用互联网为骨科医生及相关人员，特别是中国国内的骨科医生服务

  34. What can we do ? Prevent? Early Treatment? For the boy, too late!!!

  35. 互联网 X

More Related