60% of a dog's body weight is supported by its fore limbs, while the hind limbs mainly play the role of power, so the probability of dog's radius and ulna fracture is greatly increased. This paper mainly intro...60% of a dog's body weight is supported by its fore limbs, while the hind limbs mainly play the role of power, so the probability of dog's radius and ulna fracture is greatly increased. This paper mainly introduced the diagnosis and treatment of a case of radius and ulna fracture in dog, with an attempt to provide reference for clinical practice.展开更多
BACKGROUND Pulmonary thromboembolism(PTE)is a serious postoperative complication that can occur after a fracture.Generally,PTE is caused by the falling off of lower extremity deep vein thrombosis(LEDVT)after lower lim...BACKGROUND Pulmonary thromboembolism(PTE)is a serious postoperative complication that can occur after a fracture.Generally,PTE is caused by the falling off of lower extremity deep vein thrombosis(LEDVT)after lower limb fracture surgery.LEDVT and PTE after upper extremity fracture surgery are very rare.PTE is one of the most common clinical causes of sudden death.Venous thromboembolism includes PTE and DVT.We experienced one case of LEDVT and PTE after distal ulna and radius fracture surgery.The purpose of our report is to raise awareness for orthopedic surgeons that PTE can occur after distal ulna and radius fracture surgery,and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.CASE SUMMARY We report a 51-year-old Chinese male who had severe fractures of the left distal ulna,radius and little finger after a motorcycle accident.The patient underwent external fixation,open reduction and internal fixation.On the third post-operative day,computed tomographic pulmonary angiography showed PTE.Doppler ultrasonography showed thrombus formation in the bilateral posterior tibial veins.After a period of anticoagulation therapy,on the 25th d after the PTE,computed tomographic pulmonary angiography showed that thrombus in both sides of the pulmonary artery disappeared.Furthermore,about 4 mo after the PTE,thrombosis in the deep veins of the lower limbs disappeared.About 1 year after the surgery,X-rays showed good fracture healing,and the function of the wrist joint recovered well.CONCLUSION Though rare,PTE can occur after distal ulna and radius fracture surgery and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.展开更多
目的:探讨钛制弹性髓内钉闭合复位治疗儿童不稳定尺桡骨干双骨折的临床疗效。方法:纳入2016年6月―2020年5月甘肃中医药大学附属医院收治的儿童不稳定尺桡骨干双骨折63例,随机分为两组,观察组32例,采用闭合复位下钛制弹性髓内钉固定;对...目的:探讨钛制弹性髓内钉闭合复位治疗儿童不稳定尺桡骨干双骨折的临床疗效。方法:纳入2016年6月―2020年5月甘肃中医药大学附属医院收治的儿童不稳定尺桡骨干双骨折63例,随机分为两组,观察组32例,采用闭合复位下钛制弹性髓内钉固定;对照组31例,采用切开复位钢板内固定。两组均记录手术时间、住院时间、骨折愈合时间、术中出血量、前臂Grace and Eversman功能分级和疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分。结果:63例患者均顺利完成手术,其中观察组的手术时间、住院时间、骨折愈合时间和术中出血量均明显少于对照组,差异有统计学意义(P<0.05)。两组间疼痛VAS评分的差异有统计学意义(P<0.05)。两组的前臂Grace and Enversman功能的差异无统计学意义(P>0.05),但观察组患者前臂Grace-Enversman功能恢复更好。结论:钛制弹性髓内钉内固定治疗儿童不稳定尺桡骨干双尺骨折可有效缩短手术时间及住院时间,降低出血量,并降低患儿术后的疼痛,明确改善前臂功能,值得临床应用。展开更多
Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mec...Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods： A retrospective record of Monteggia frac- ture dislocation （2003-2008） was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI ＆ Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results： Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions： Monteggia fracture dislocation equiva- lents are rare injuries and pre-surgery recognition by radio- graphs and 3-D CT helps make optimal plan. The poor results usually relate to intraarticular damage, coronoid fractures and comminution of the ulna and radial head fractures.展开更多
基金Supported by Top-notch Academic Programs Project of Jiangsu Higher Education Institutions(PPZY2015C230)
文摘60% of a dog's body weight is supported by its fore limbs, while the hind limbs mainly play the role of power, so the probability of dog's radius and ulna fracture is greatly increased. This paper mainly introduced the diagnosis and treatment of a case of radius and ulna fracture in dog, with an attempt to provide reference for clinical practice.
基金Shanghai Fengxian District Osteoarthropathy Clinical Diagnosis and Treatment Center,China,No.fxlczlzx-a-201704.
文摘BACKGROUND Pulmonary thromboembolism(PTE)is a serious postoperative complication that can occur after a fracture.Generally,PTE is caused by the falling off of lower extremity deep vein thrombosis(LEDVT)after lower limb fracture surgery.LEDVT and PTE after upper extremity fracture surgery are very rare.PTE is one of the most common clinical causes of sudden death.Venous thromboembolism includes PTE and DVT.We experienced one case of LEDVT and PTE after distal ulna and radius fracture surgery.The purpose of our report is to raise awareness for orthopedic surgeons that PTE can occur after distal ulna and radius fracture surgery,and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.CASE SUMMARY We report a 51-year-old Chinese male who had severe fractures of the left distal ulna,radius and little finger after a motorcycle accident.The patient underwent external fixation,open reduction and internal fixation.On the third post-operative day,computed tomographic pulmonary angiography showed PTE.Doppler ultrasonography showed thrombus formation in the bilateral posterior tibial veins.After a period of anticoagulation therapy,on the 25th d after the PTE,computed tomographic pulmonary angiography showed that thrombus in both sides of the pulmonary artery disappeared.Furthermore,about 4 mo after the PTE,thrombosis in the deep veins of the lower limbs disappeared.About 1 year after the surgery,X-rays showed good fracture healing,and the function of the wrist joint recovered well.CONCLUSION Though rare,PTE can occur after distal ulna and radius fracture surgery and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.
文摘目的:探讨钛制弹性髓内钉闭合复位治疗儿童不稳定尺桡骨干双骨折的临床疗效。方法:纳入2016年6月―2020年5月甘肃中医药大学附属医院收治的儿童不稳定尺桡骨干双骨折63例,随机分为两组,观察组32例,采用闭合复位下钛制弹性髓内钉固定;对照组31例,采用切开复位钢板内固定。两组均记录手术时间、住院时间、骨折愈合时间、术中出血量、前臂Grace and Eversman功能分级和疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分。结果:63例患者均顺利完成手术,其中观察组的手术时间、住院时间、骨折愈合时间和术中出血量均明显少于对照组,差异有统计学意义(P<0.05)。两组间疼痛VAS评分的差异有统计学意义(P<0.05)。两组的前臂Grace and Enversman功能的差异无统计学意义(P>0.05),但观察组患者前臂Grace-Enversman功能恢复更好。结论:钛制弹性髓内钉内固定治疗儿童不稳定尺桡骨干双尺骨折可有效缩短手术时间及住院时间,降低出血量,并降低患儿术后的疼痛,明确改善前臂功能,值得临床应用。
文摘Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods： A retrospective record of Monteggia frac- ture dislocation （2003-2008） was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI ＆ Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results： Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions： Monteggia fracture dislocation equiva- lents are rare injuries and pre-surgery recognition by radio- graphs and 3-D CT helps make optimal plan. The poor results usually relate to intraarticular damage, coronoid fractures and comminution of the ulna and radial head fractures.
