Thrombelastography and color Doppler flow imaging in the perioperative period after closed lower limb fracture

Objective To observe the changes of thrombelastography (TEG) and color Doppler flow imaging (CDFI) in the perioperative period after closed lower limb fracture.Methods Fasting venous blood samples in the morning from 11 healthy adults were used

Comparison of three kinds of treatment for pediatric closed femoral shaft fracture

To compare and evaluate 3 kinds of treatments of pediatric closed femoral shaft fractures.Methods Seventy-nine patients were divided into 3 groups and treated using hip spica casting after skeletal traction,unilateral multifunctional fixation and plate fixation.The result were evaluated according to clinical function,time to union,complications,radiology examination and the economic cost.Results Both time to union and economic cost of the external fixation group were shorter than that of the skeletal traction group and plate fixation group.Conclusion The unilateral multi-functional external fixation is an ideal solution to pediatric close femoral shaft fractures.7 refs,3 tabs.

Anisotropic characteristics of electrical responses of fractured reservoir with multiple sets of fractures

In fractured reservoirs, the fractures not but also form the main flow channels which connect productivity of reservoirs. However, because of the only provide the storage space for hydrocarbons, the pores of the matrix, so fractures dominate the heterogeneity and randomness of the distribution of fractures, exploration and evaluation of fractured reservoirs is still one of the most difficult problems in the oil industry. In recent years, seismic anisotropy has been applied to the assessment of fractured formations, whereas electrical anisotropy which is more intense in fractured formations than seismic anisotropy has not been studied or used so extensively. In this study, fractured reservoir models which considered multiple sets of fractures with smooth and partly closed, rough surfaces were established based on the fractures and pore network, and the vertical and horizontal electrical resistivities were derived as a function of the matrix and fracture porosities according to Ohm＇s law. By using the anisotropic resistivity equations, variations of the electrical anisotropy of three types of fractured models under the conditions of free pressure and confining pressure were analyzed through the variations of the exerted pressure, matrix porosity, fracture aperture and formation water resistivity. The differences of the vertical and horizontal resistivities and the anisotropy between the connected and non-connected fractures were also analyzed. It is known from the simulated results that an increase of the confining pressure causes a decrease of electrical anisotropy because of the elasticity of the closed fractures and the decrease of the fracture aperture. For a fixed fracture porosity, the higher the matrix porosity, the weaker the electrical anisotropy in the rock formation.

Diagnosis,treatment and complications of radial head and neck fractures in the pediatric patient

Radial head and neck fractures represent up to 14%of all pediatric elbow fractures and can be a difficult challenge in the pediatric patient.In up to 39%of proximal radius fractures,there is a concomitant fracture,which can easily be overlooked on the initial standard radiographs.The treatment options for proximal radius fractures in children range from non-surgical treatment,such as immobilization alone and closed reduction followed by immobilization,to more invasive options,including closed reduction with percutaneous pinning and open reduction with internal fixation.The choice of treatment depends on the degree of angulation and displacement of the fracture and the age of the patient;an angulation of less than 30 degrees and translation of less than 50%is generally accepted,whereas a higher degree of displacement is considered an indication for surgical intervention.Fractures with limited displacement and non-surgical treatment generally result in superior outcomes in terms of patient-reported outcome measures,range of motion and complications compared to severely displaced fractures requiring surgical intervention.With proper management,good to excellent results are achieved in most cases,and long-term sequelae are rare.However,severe complications do occur,including radio-ulnar synostosis,osteonecrosis,rotational impairment,and premature physeal closure with a malformation of the radial head as a result,especially after more invasive procedures.Adequate follow-up is therefore warranted.