BACKGROUND Distal radius fractures(DRFs)are a common challenge in orthopaedic trauma care,yet for those fractures that are treated nonoperatively,strong evidence to guide cast treatment is still lacking.AIM To compare...BACKGROUND Distal radius fractures(DRFs)are a common challenge in orthopaedic trauma care,yet for those fractures that are treated nonoperatively,strong evidence to guide cast treatment is still lacking.AIM To compare the efficacy of below elbow cast(BEC)and above elbow cast(AEC)in maintaining reduction of manipulated DRFs.METHODS We conducted a prospective,monocentric,randomized,parallel-group,open label,blinded,noninferiority trial comparing the efficacy of BEC and AEC in the nonoperative treatment of DRFs.Two hundred and eighty patients>18 years of age diagnosed with DRFs were successfully randomized and included for analysis over a 3-year period.Noninferiority thresholds were defined as a 2 mm difference for radial length(RL),a 3°difference for radial inclination(RI),and volar tilt(VT).The trial is registered at Clinicaltrials.gov(NCT03468023).RESULTS One hundred and forty-three patients were treated with BEC,and 137 were treated with AEC.The mean time of immobilization was 33 d.The mean loss of RL,RI,and VT was 1.59 mm,2.83°,and 4.11°for BEC and 1.63 mm,2.54°,and VT loss were respectively 0.04 mm(95%CI:-0.36-0.44),-0.29°(95%CI:-1.03-0.45),and 0.59°(95%CI:-1.39-2.57),and they were all below the prefixed noninferiority thresholds.The rate of loss of reduction was similar.CONCLUSION BEC performs as well as AEC in maintaining the reduction of a manipulated DRF.Being more comfortable to patients,BEC may be preferable for nonoperative treatment of DRFs.展开更多
A notorious economic fugitive who thought he had escaped arrest in a multimillion-dollar fraud case has finally been caught. On April 9, the absconder, identified only by his surname Hu. was extradited to China from G...A notorious economic fugitive who thought he had escaped arrest in a multimillion-dollar fraud case has finally been caught. On April 9, the absconder, identified only by his surname Hu. was extradited to China from Greece under an anti-graft operation. Codenamed Fox Hunt 2015. it hunts down corrupt officials and economic crime suspects who have fled the country, and recovers stolen assets. Hu was former head of the Quzhou Baitai Group in east China＇s economically developed Zhejiang Province. In April 2013, he fled to Cyprus with his family and over 40 million yuan （$6,45 million） of illicit money as well as another 4 million yuan （$645.000） of bank loans. The procuratorate of Longyou County in Zhejiang issued an arrest warrant and police began a manhunt for him.展开更多
文摘BACKGROUND Distal radius fractures(DRFs)are a common challenge in orthopaedic trauma care,yet for those fractures that are treated nonoperatively,strong evidence to guide cast treatment is still lacking.AIM To compare the efficacy of below elbow cast(BEC)and above elbow cast(AEC)in maintaining reduction of manipulated DRFs.METHODS We conducted a prospective,monocentric,randomized,parallel-group,open label,blinded,noninferiority trial comparing the efficacy of BEC and AEC in the nonoperative treatment of DRFs.Two hundred and eighty patients>18 years of age diagnosed with DRFs were successfully randomized and included for analysis over a 3-year period.Noninferiority thresholds were defined as a 2 mm difference for radial length(RL),a 3°difference for radial inclination(RI),and volar tilt(VT).The trial is registered at Clinicaltrials.gov(NCT03468023).RESULTS One hundred and forty-three patients were treated with BEC,and 137 were treated with AEC.The mean time of immobilization was 33 d.The mean loss of RL,RI,and VT was 1.59 mm,2.83°,and 4.11°for BEC and 1.63 mm,2.54°,and VT loss were respectively 0.04 mm(95%CI:-0.36-0.44),-0.29°(95%CI:-1.03-0.45),and 0.59°(95%CI:-1.39-2.57),and they were all below the prefixed noninferiority thresholds.The rate of loss of reduction was similar.CONCLUSION BEC performs as well as AEC in maintaining the reduction of a manipulated DRF.Being more comfortable to patients,BEC may be preferable for nonoperative treatment of DRFs.
文摘A notorious economic fugitive who thought he had escaped arrest in a multimillion-dollar fraud case has finally been caught. On April 9, the absconder, identified only by his surname Hu. was extradited to China from Greece under an anti-graft operation. Codenamed Fox Hunt 2015. it hunts down corrupt officials and economic crime suspects who have fled the country, and recovers stolen assets. Hu was former head of the Quzhou Baitai Group in east China＇s economically developed Zhejiang Province. In April 2013, he fled to Cyprus with his family and over 40 million yuan （$6,45 million） of illicit money as well as another 4 million yuan （$645.000） of bank loans. The procuratorate of Longyou County in Zhejiang issued an arrest warrant and police began a manhunt for him.
