BACKGROUND Currently,open reduction internal fixation is the conventional surgical method for treatment of double ulna and radius fracture.However,open reduction is associated with a high risk of complications.This ca...BACKGROUND Currently,open reduction internal fixation is the conventional surgical method for treatment of double ulna and radius fracture.However,open reduction is associated with a high risk of complications.This case of forearm double fracture involved a patient treated using an Acumed intramedullary nail.The patient experienced good follow-up outcomes.The Acumed forearm intramedullary nail enables early functional exercise and hastens healing of the fracture.Few studies have reported on the use of this approach for the treatment of fractures.CASE SUMMARY A 23-year-old male patient was admitted to hospital after 5 h of pain,swelling,and limited activity of left forearm caused by a careless fall.Physical examination showed stable basic vital signs,swelling of the left forearm,and severe pain when pressing on the injured part of the forearm.Further,friction was felt at the broken end of the bone;the skin was not punctured.Movement of the left hand was normal,and the left radial artery pulse was normal.Three-dimensional computed tomography examination showed an ulna fracture of the left forearm and comminuted fracture of the radius.The fracture was located in the upper third of the radius,with significant displacement on the fracture side.Clinical diagnosis further confirmed the left radius comminuted fracture and ulna fracture.After analyzing the fracture pattern,age,and other patient characteristics,we chose an Acumed nail for treatment and achieved good follow-up outcomes.CONCLUSION Acumed forearm intramedullary nail for fixation of ulna and radius fracture reduced complication risk and resulted in good follow-up outcomes.展开更多
Three-dimensional seepage in double fractured media was modeled in this paper. The determination of hydraulic conductivity tensor of rock mass is a vital problem for the sea water intrusion or sea water encroachment a...Three-dimensional seepage in double fractured media was modeled in this paper. The determination of hydraulic conductivity tensor of rock mass is a vital problem for the sea water intrusion or sea water encroachment and seepage of fissured medium. According to the geological and hydrogeological conditions for the 2nd-stage construction of the Three Gorges Project (TGP), the physical and mathematical models for the groundwater movement through the 3D double fractured media of rock mass during construction were established in this paper. Based on discontinuity-control inverse theory, some related parameters of double fractured media were inversed with flux being the known quantity and calibration of water table the objective function. Synchronously, the seepage field of the construction region was systematically analyzed and simulated, the results of which exhibit that the double fractured media model of fracture water can comprehensively and correctly describe the geological and hydrogeological conditions in the construction region.展开更多
文摘BACKGROUND Currently,open reduction internal fixation is the conventional surgical method for treatment of double ulna and radius fracture.However,open reduction is associated with a high risk of complications.This case of forearm double fracture involved a patient treated using an Acumed intramedullary nail.The patient experienced good follow-up outcomes.The Acumed forearm intramedullary nail enables early functional exercise and hastens healing of the fracture.Few studies have reported on the use of this approach for the treatment of fractures.CASE SUMMARY A 23-year-old male patient was admitted to hospital after 5 h of pain,swelling,and limited activity of left forearm caused by a careless fall.Physical examination showed stable basic vital signs,swelling of the left forearm,and severe pain when pressing on the injured part of the forearm.Further,friction was felt at the broken end of the bone;the skin was not punctured.Movement of the left hand was normal,and the left radial artery pulse was normal.Three-dimensional computed tomography examination showed an ulna fracture of the left forearm and comminuted fracture of the radius.The fracture was located in the upper third of the radius,with significant displacement on the fracture side.Clinical diagnosis further confirmed the left radius comminuted fracture and ulna fracture.After analyzing the fracture pattern,age,and other patient characteristics,we chose an Acumed nail for treatment and achieved good follow-up outcomes.CONCLUSION Acumed forearm intramedullary nail for fixation of ulna and radius fracture reduced complication risk and resulted in good follow-up outcomes.
基金the National Natural Science Foundation of China (Grant Nos: 50179010 and 50239070)
文摘Three-dimensional seepage in double fractured media was modeled in this paper. The determination of hydraulic conductivity tensor of rock mass is a vital problem for the sea water intrusion or sea water encroachment and seepage of fissured medium. According to the geological and hydrogeological conditions for the 2nd-stage construction of the Three Gorges Project (TGP), the physical and mathematical models for the groundwater movement through the 3D double fractured media of rock mass during construction were established in this paper. Based on discontinuity-control inverse theory, some related parameters of double fractured media were inversed with flux being the known quantity and calibration of water table the objective function. Synchronously, the seepage field of the construction region was systematically analyzed and simulated, the results of which exhibit that the double fractured media model of fracture water can comprehensively and correctly describe the geological and hydrogeological conditions in the construction region.