Objective:To evaluate the bone metabolism balance and traumatic reaction of minimally invasive mippo intramedullary nail internal fixation treatment of femoral shaft fractures. Methods:80 patients with femoral shaft f...Objective:To evaluate the bone metabolism balance and traumatic reaction of minimally invasive mippo intramedullary nail internal fixation treatment of femoral shaft fractures. Methods:80 patients with femoral shaft fractures who were treated in our hospital between May 2011 and December 2016 were collected and divided into control group (n=40) and observation group (n=40) according to random number table, control group received conventional steel plate internal fixation treatment, and observation group received minimally invasive mippo intramedullary nail internal fixation treatment. Differences in serum levels of bone formation indexes, bone resorption indexes, inflammatory factors, and pain mediators and so on were compared between two groups of patients before operation and 1 week after treatment.Results: Before operation, differences in serum levels of bone formation indexes, bone resorption indexes, inflammatory factors and pain mediators were not statistically significant between two groups of patients. After operation, serum bone formation indexes P ICP, BGP, BALP and ALP levels in observation group were higher than those in control group;serum bone resorption indexesβ-CTX and OPG levels were lower than those in control group;serum inflammatory factors IL-1β, IL-6, IL-8 and CRP levels were lower than those in control group;serum pain mediators SP, PGE2 and 5-HT levels were lower than those in control group.Conclusion:Minimally invasive mippo intramedullary nail internal fixation treatment of femoral shaft fractures can promote the bone formation, relatively inhibit bone resorption and cause less traumatic reaction.展开更多
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
Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls...Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group.展开更多
探讨跟骨钉中钉手术较传统手术方式治疗跟骨骨折的优势.回顾性收集自2021年4月—2024年4月间跟骨骨折Sanders分型Ⅱ-Ⅲ型46例患者临床资料,根据治疗方式不同随机分为微创组(采用跟骨钉中钉内固定系统微创治疗,23例)和传统组(传统切开复...探讨跟骨钉中钉手术较传统手术方式治疗跟骨骨折的优势.回顾性收集自2021年4月—2024年4月间跟骨骨折Sanders分型Ⅱ-Ⅲ型46例患者临床资料,根据治疗方式不同随机分为微创组(采用跟骨钉中钉内固定系统微创治疗,23例)和传统组(传统切开复位内固定治疗,23例),记录两组术前待术时间、手术时间、术后住院时间、术中出血量、手术并发症、术后1周、1月及1年功能恢复等情况,并进行比较,采用SPSS 23.0软件进行统计学分析,并于末次随访时按照Maryland足部评分系统评分.微创组与传统组患者在平均手术时间(78min vs 105min)、术中出血量(9.5ml vs 55ml)、Maryland足功能评分系统判定术后1周、术后1月及1年优良率(分别73.91%vs 43.48%,91.3%vs 78.2%,100%vs 91.3%)间差异均具有统计学意义(P<0.01).钉中钉内固定系统在跟骨骨折较以往传统切开复位内固定手术有明显优势,可缩短住院时间,术后功能恢复亦较良好,值得推广应用.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
文摘Objective:To evaluate the bone metabolism balance and traumatic reaction of minimally invasive mippo intramedullary nail internal fixation treatment of femoral shaft fractures. Methods:80 patients with femoral shaft fractures who were treated in our hospital between May 2011 and December 2016 were collected and divided into control group (n=40) and observation group (n=40) according to random number table, control group received conventional steel plate internal fixation treatment, and observation group received minimally invasive mippo intramedullary nail internal fixation treatment. Differences in serum levels of bone formation indexes, bone resorption indexes, inflammatory factors, and pain mediators and so on were compared between two groups of patients before operation and 1 week after treatment.Results: Before operation, differences in serum levels of bone formation indexes, bone resorption indexes, inflammatory factors and pain mediators were not statistically significant between two groups of patients. After operation, serum bone formation indexes P ICP, BGP, BALP and ALP levels in observation group were higher than those in control group;serum bone resorption indexesβ-CTX and OPG levels were lower than those in control group;serum inflammatory factors IL-1β, IL-6, IL-8 and CRP levels were lower than those in control group;serum pain mediators SP, PGE2 and 5-HT levels were lower than those in control group.Conclusion:Minimally invasive mippo intramedullary nail internal fixation treatment of femoral shaft fractures can promote the bone formation, relatively inhibit bone resorption and cause less traumatic reaction.
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.
文摘Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group.
文摘探讨跟骨钉中钉手术较传统手术方式治疗跟骨骨折的优势.回顾性收集自2021年4月—2024年4月间跟骨骨折Sanders分型Ⅱ-Ⅲ型46例患者临床资料,根据治疗方式不同随机分为微创组(采用跟骨钉中钉内固定系统微创治疗,23例)和传统组(传统切开复位内固定治疗,23例),记录两组术前待术时间、手术时间、术后住院时间、术中出血量、手术并发症、术后1周、1月及1年功能恢复等情况,并进行比较,采用SPSS 23.0软件进行统计学分析,并于末次随访时按照Maryland足部评分系统评分.微创组与传统组患者在平均手术时间(78min vs 105min)、术中出血量(9.5ml vs 55ml)、Maryland足功能评分系统判定术后1周、术后1月及1年优良率(分别73.91%vs 43.48%,91.3%vs 78.2%,100%vs 91.3%)间差异均具有统计学意义(P<0.01).钉中钉内固定系统在跟骨骨折较以往传统切开复位内固定手术有明显优势,可缩短住院时间,术后功能恢复亦较良好,值得推广应用.
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。
