Introduction: Our aim was to compare clinical and radiological results of lateral malleolus fracture treated with neutralization and compression plate. Material and Methods: 54 patients with isolated lateral malleolus...Introduction: Our aim was to compare clinical and radiological results of lateral malleolus fracture treated with neutralization and compression plate. Material and Methods: 54 patients with isolated lateral malleolus fractures treated between March 2012 and April 2015 at Fatih Sultan Mehmet Training and Research Hospital were evaluated with the Ankle-Hindfoot Scale of the American Orthopedic Foot and Ankle Society (AOFAS) score (excellent, ≥90;good, 75 - 89;acceptable, 50 - 74;poor, Results: There was no significant change in AOFAS, VAS, PSS and the union rates between two plating techniques. Conclusion: Similar results have shown both of two plating techniques were successful treating isolated lateral malleolus fracture.展开更多
BACKGROUNDMandibular fractures constitute about 80.79% of maxillofacial injuries inAlexandria University, either as isolated mandibular fractures or as a part ofpanfacial fractures. The combination of symphyseal and p...BACKGROUNDMandibular fractures constitute about 80.79% of maxillofacial injuries inAlexandria University, either as isolated mandibular fractures or as a part ofpanfacial fractures. The combination of symphyseal and parasymphyseal fracturesrepresent 47.09% of the total mandibular fractures.AIMTo compare the effectiveness of lag screws vs double Y-shaped miniplates in thefixation of anterior mandibular fractures.METHODSThis study is a prospective randomized controlled clinical trial, performed onsixteen patients with anterior mandibular fractures. Patients were divided equallyinto two groups, each consisting of eight patients. Group 1: Underwent openreduction and internal fixation using two lag screws. Group 2: Underwent openreduction and internal fixation using double Y-shaped plates. The followingparameters were assessed: operating time in minutes, pain using a visual analogscale, edema, surgical wound healing for signs and symptoms of infection,occlusion status and stability, maximal mouth opening, and sensory nervefunction. Cone beam computed tomography was performed at 3 and 6 mo tomeasure bone density and assess the progression of fracture healing.RESULTSThe study included 13 males (81.3%) and 3 females (18.8%) aged 26 to 45 years(mean age was 35.69 ± 6.01 years). The cause of trauma was road traffic accidentsin 10 patients (62.5%), interpersonal violence in 3 patients (18.8%) and othercauses in 3 patients (18.8%). The fractures comprised 10 parasymphyseal fractures(62.5%) and 6 symphyseal fractures (37.5%). The values of all parameters were comparable in both groups with no statistically significant difference except forthe mean bone density at 3 mo postoperatively which was 946.38 ± 66.29 in group 1 and 830.36 ± 95.53 in group 2 (P = 0.015).CONCLUSIONBoth lag screws and double Y-shaped miniplates provide favorable means offixation for mandibular fractures in the anterior region. Fractures fixed with lagscrews show greater mean bone density at 3 mo post-operation, indicative ofhigher primary stability and faster early bone healing. Further studies with largersample sizes are required to verify these conclusions.展开更多
Objective Introduce a new method to treat fresh acromioclavicular joint dtslocations-close reduction and percutaneous internal lixatlon using guide cannulated lag screw. Methods 12 cases of acute acromioclavicular joi...Objective Introduce a new method to treat fresh acromioclavicular joint dtslocations-close reduction and percutaneous internal lixatlon using guide cannulated lag screw. Methods 12 cases of acute acromioclavicular joint dislocations were treated and followed. Results 11 cases succeeded and one failed with technical mistakes. Conclusion Because no important nerve or vessel passing between coracoid process and clavicle, close reduction and percutaneous coracoclavicular cannulated lag screw fixation treatment is safe, effective and affords early rehabilitation.展开更多
背景:空心拉力螺钉技术治疗峡部裂有很多优势,但依然存在内固定的断裂、松动的风险。目的:通过三维有限元软件建立L-S正常模型、峡部裂模型及空心拉力螺钉治疗腰椎峡部裂模型,分析空心拉力螺钉治疗腰椎峡部裂的生物力学稳定性。方法:选...背景:空心拉力螺钉技术治疗峡部裂有很多优势,但依然存在内固定的断裂、松动的风险。目的:通过三维有限元软件建立L-S正常模型、峡部裂模型及空心拉力螺钉治疗腰椎峡部裂模型,分析空心拉力螺钉治疗腰椎峡部裂的生物力学稳定性。方法:选择1名男性健康青年军人志愿者,对志愿者腰椎、骶椎进行三维CT扫描,获取影像学数据并保存为Dicom格式。将CT数据导入Mimics research 21.0软件初步建立几何模型,并进行偏差分析,将所得模型以STEP格式输出;再导入Solidworks 21.0软件分别建立L-S节段正常、L双侧峡部裂、空心拉力螺钉治疗峡部裂3组模型,分别用A,B,C表示,比较轴向压缩、前屈、后伸、左侧弯、左旋转5种工况下3组模型的生物力学特点。结果与结论:①相比于A,C模型,B模型在轴向压缩、前屈、后伸、左侧弯、左旋转5种工况下的整体最大位移均为最大,而A,C整体最大位移相差不明显;②C模型去除内固定之后,最大应力趋势与A模型相近,而B模型在左侧弯及左旋转时应力明显高于A,C模型;③3组模型的整体最大转角表明,B模型在5种工况下的最大转角明显大于A,C模型,A,C模型相似;3组模型L椎体的活动度变化不明显;而B模型L椎体的活动度明显高于A,C模型,在左侧旋转及左侧弯时更明显;④结果说明,脊柱生理运动状态下,空心拉力螺钉治疗腰椎峡部裂模型的变化趋势同正常模型,可获得良好的生物力学稳定性,保留了脊柱的正常力学特性,但应避免术后即刻过度的后伸及旋转。展开更多
目的:分析经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效。方法:对2016年1月至2021年6月采用经腋窝入路拉力螺钉结合支撑钢板治疗的26例IdebergⅡ型肩胛盂骨折患者进行回顾性分析,其中男15例,女11例;年龄21~75(43.12&...目的:分析经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效。方法:对2016年1月至2021年6月采用经腋窝入路拉力螺钉结合支撑钢板治疗的26例IdebergⅡ型肩胛盂骨折患者进行回顾性分析,其中男15例,女11例;年龄21~75(43.12±6.56)岁。采用Constant-Murley肩关节评分量表和加利福尼亚大学洛杉矶分校(University of California at Los Angeles,UCLA)评分对肩关节功能和临床疗效进行评估。结果:所有患者获得随访,时间19~42(30.6±10.5)个月。术后1年对患者进行Constant-Murley评分,结果由术前的28~47(34.9±2.5)分,升高为70~95(87.2±6.8)分;UCLA评分结果由术前的9~25(17.9±1.7)分,改善为29~35(33.1±2.3)分,其中优17例,良7例,可2例。两者评分结果与术前评分比较差异均有统计学意义(P<0.001)。患者术后均未出现感染和螺钉、钢板松动、断裂等并发症,2例在术后随访期有不同程度的肩部慢性疼痛。结论:经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折显露便捷,可直视下恢复肩胛盂正常解剖形态,利于选择适合螺钉及钢板放置的部位,达到较佳的治疗效果,并发症少,是一种有效、可靠的手术方法。展开更多
文摘Introduction: Our aim was to compare clinical and radiological results of lateral malleolus fracture treated with neutralization and compression plate. Material and Methods: 54 patients with isolated lateral malleolus fractures treated between March 2012 and April 2015 at Fatih Sultan Mehmet Training and Research Hospital were evaluated with the Ankle-Hindfoot Scale of the American Orthopedic Foot and Ankle Society (AOFAS) score (excellent, ≥90;good, 75 - 89;acceptable, 50 - 74;poor, Results: There was no significant change in AOFAS, VAS, PSS and the union rates between two plating techniques. Conclusion: Similar results have shown both of two plating techniques were successful treating isolated lateral malleolus fracture.
文摘BACKGROUNDMandibular fractures constitute about 80.79% of maxillofacial injuries inAlexandria University, either as isolated mandibular fractures or as a part ofpanfacial fractures. The combination of symphyseal and parasymphyseal fracturesrepresent 47.09% of the total mandibular fractures.AIMTo compare the effectiveness of lag screws vs double Y-shaped miniplates in thefixation of anterior mandibular fractures.METHODSThis study is a prospective randomized controlled clinical trial, performed onsixteen patients with anterior mandibular fractures. Patients were divided equallyinto two groups, each consisting of eight patients. Group 1: Underwent openreduction and internal fixation using two lag screws. Group 2: Underwent openreduction and internal fixation using double Y-shaped plates. The followingparameters were assessed: operating time in minutes, pain using a visual analogscale, edema, surgical wound healing for signs and symptoms of infection,occlusion status and stability, maximal mouth opening, and sensory nervefunction. Cone beam computed tomography was performed at 3 and 6 mo tomeasure bone density and assess the progression of fracture healing.RESULTSThe study included 13 males (81.3%) and 3 females (18.8%) aged 26 to 45 years(mean age was 35.69 ± 6.01 years). The cause of trauma was road traffic accidentsin 10 patients (62.5%), interpersonal violence in 3 patients (18.8%) and othercauses in 3 patients (18.8%). The fractures comprised 10 parasymphyseal fractures(62.5%) and 6 symphyseal fractures (37.5%). The values of all parameters were comparable in both groups with no statistically significant difference except forthe mean bone density at 3 mo postoperatively which was 946.38 ± 66.29 in group 1 and 830.36 ± 95.53 in group 2 (P = 0.015).CONCLUSIONBoth lag screws and double Y-shaped miniplates provide favorable means offixation for mandibular fractures in the anterior region. Fractures fixed with lagscrews show greater mean bone density at 3 mo post-operation, indicative ofhigher primary stability and faster early bone healing. Further studies with largersample sizes are required to verify these conclusions.
文摘Objective Introduce a new method to treat fresh acromioclavicular joint dtslocations-close reduction and percutaneous internal lixatlon using guide cannulated lag screw. Methods 12 cases of acute acromioclavicular joint dislocations were treated and followed. Results 11 cases succeeded and one failed with technical mistakes. Conclusion Because no important nerve or vessel passing between coracoid process and clavicle, close reduction and percutaneous coracoclavicular cannulated lag screw fixation treatment is safe, effective and affords early rehabilitation.
文摘背景:空心拉力螺钉技术治疗峡部裂有很多优势,但依然存在内固定的断裂、松动的风险。目的:通过三维有限元软件建立L-S正常模型、峡部裂模型及空心拉力螺钉治疗腰椎峡部裂模型,分析空心拉力螺钉治疗腰椎峡部裂的生物力学稳定性。方法:选择1名男性健康青年军人志愿者,对志愿者腰椎、骶椎进行三维CT扫描,获取影像学数据并保存为Dicom格式。将CT数据导入Mimics research 21.0软件初步建立几何模型,并进行偏差分析,将所得模型以STEP格式输出;再导入Solidworks 21.0软件分别建立L-S节段正常、L双侧峡部裂、空心拉力螺钉治疗峡部裂3组模型,分别用A,B,C表示,比较轴向压缩、前屈、后伸、左侧弯、左旋转5种工况下3组模型的生物力学特点。结果与结论:①相比于A,C模型,B模型在轴向压缩、前屈、后伸、左侧弯、左旋转5种工况下的整体最大位移均为最大,而A,C整体最大位移相差不明显;②C模型去除内固定之后,最大应力趋势与A模型相近,而B模型在左侧弯及左旋转时应力明显高于A,C模型;③3组模型的整体最大转角表明,B模型在5种工况下的最大转角明显大于A,C模型,A,C模型相似;3组模型L椎体的活动度变化不明显;而B模型L椎体的活动度明显高于A,C模型,在左侧旋转及左侧弯时更明显;④结果说明,脊柱生理运动状态下,空心拉力螺钉治疗腰椎峡部裂模型的变化趋势同正常模型,可获得良好的生物力学稳定性,保留了脊柱的正常力学特性,但应避免术后即刻过度的后伸及旋转。
文摘目的:分析经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折的疗效。方法:对2016年1月至2021年6月采用经腋窝入路拉力螺钉结合支撑钢板治疗的26例IdebergⅡ型肩胛盂骨折患者进行回顾性分析,其中男15例,女11例;年龄21~75(43.12±6.56)岁。采用Constant-Murley肩关节评分量表和加利福尼亚大学洛杉矶分校(University of California at Los Angeles,UCLA)评分对肩关节功能和临床疗效进行评估。结果:所有患者获得随访,时间19~42(30.6±10.5)个月。术后1年对患者进行Constant-Murley评分,结果由术前的28~47(34.9±2.5)分,升高为70~95(87.2±6.8)分;UCLA评分结果由术前的9~25(17.9±1.7)分,改善为29~35(33.1±2.3)分,其中优17例,良7例,可2例。两者评分结果与术前评分比较差异均有统计学意义(P<0.001)。患者术后均未出现感染和螺钉、钢板松动、断裂等并发症,2例在术后随访期有不同程度的肩部慢性疼痛。结论:经腋窝入路拉力螺钉结合支撑钢板治疗IdebergⅡ型肩胛盂骨折显露便捷,可直视下恢复肩胛盂正常解剖形态,利于选择适合螺钉及钢板放置的部位,达到较佳的治疗效果,并发症少,是一种有效、可靠的手术方法。
