All break healed really from 9.5 to 15 months with an average of (12.00±1.43) months. No infection, epidermis necrosis, loosen and broken of inner fixation, loosing of fracture decrease happened. Mazur ankle joint score at one year (92.11± 5.28) results was more than 9 months (89.33±5.20) results (t=7.976, P less then 0.001) . CONCLUSION Delayed inner fixation through anteromedial and posterolateral method of rearfoot for Pilon fracture combined with fibula break has advantages of quick procedure, satisfied decrease, stable fixation, less postoperative complications and pleased foot combined purpose.OBJECTIVE To explore modifications of inflammatory aspects on prognosis of tibia plateau Schatzker Ⅲ fractures treated under arthroscopic or open reduction and internal fixation. PRACTICES From November 2013 to November 2016, clinical information of 30 patients with tibia plateau Schatzker Ⅲ fractures were retrospectively analyzed, and divided into minimally unpleasant group and control group relating to various surgical techniques 15 customers in each group. Minimally invasive team were treated by arthroscopic inner fixation, including 8 guys and 7 females, elderly from 20 to 50 years of age with an average of (35.0± 14.6) years old, the full time from problems for operation ranged from 7 to 15 times with the average of (11.0±4.1) days. Control group had been addressed by open reduction and interior fixation, including 7 men and 8 females, elderly from 18 to 48 years old with a typical of (33.0±13.6) yrs old, enough time from problems for operation ranged from 6 to 2 weeks with the average of (10.0±3.4) days.Operation time, period of incision, blom knee function score at a few months after operation. CONCLUSION Arthroscopic surgery and available surgery additionally could get good medical impacts in treating tibia plateau Schatzker Ⅲ fractures. Arthroscopic internal fixation could shorten operation time, reduce the mount of blooding with minimally unpleasant, lower occurrence of postoperative complications, quicker recovery of knee function.OBJECTIVE To compare correlation between preoperative and postoperative Oxford leg scores and client satisfaction after unicompartmental knee arthroplasty and to identify Oxford knee rating limit for various satisfactions. TECHNIQUES Totally 88 patients Medical apps with unicompartmental knee arthroplasty were enrolled from January 2017 to Summer 2018, including 24 males and 64 females, elderly from 52 to 77 yrs old with an average of (65.39±7.33) yrs . old. All clients completed Oxford Knee Score Questionnaire and happiness Questionnaire before procedure and 6 months after operation. Correlation between Oxford leg score and pleasure was reviewed by Spearman position correlation test, the pleasure degree was used SN38 given that gold standard, and ROC curves were drawn to judge the value of knee score on patient satisfaction pre and post operation. Yoden index were utilized to explore its optimal limit. RESULTS there is no significant correlation between preoperative Oxford leg rating and satisfaction before operatiubjective satisfaction after complete knee arthroplasty and unicompartmental knee arthroplasty.OBJECTIVE To explore effects of Buyang Huanwu Decoction (, BYHWD) on very early callus X-ray analysis and degree of serum alkaline phosphatase in senior customers with Colles break after handbook decrease and splint external fixation. TECHNIQUES From October 2016 to October 2018, 60 senior patients with Colles fractures were addressed with handbook reduction and splint external fixation and were divided into experimental team and control group. There have been 30 patients in control team, including 15 men and 15 females; aged from 56 to 75 yrs old with the average of (67.81±5.41) yrs old; bone mineral density was (0.82±0.24) g/cm 2; patients had been carried out raise shoulders, flex and increase shoulder joint, extend five hands and also make a fist at 3 days after operation, 3 times daily for four weeks, 30 min once an occasion. There were 30 customers in experimental group, including 13 males and 17 females; aged from 57 to 77 yrs . old with the average of (66.02±5.16) years old; bone mineral density was (0.76±0.23) g/cm2; patients per; while in controlgroup had been (91.27±13.52) mmol/L ,(94.60±11.10) mmol/L ,(144.17±26.27) mmol/L correspondingly; there clearly was no statistically distinction between two groups at instantly; and had statistically differences between two groups at 14 and 28 times after reduction. There is no factor in serum calcium concentration between two groups at straight away, 14 and 28 times after decrease. SUMMARY BYHWD for elderly patients with Colles fracture could advertise very early development of callus, successfully boost concentration of serum alkaline phosphatase and promote fracture healing.OBJECTIVE To explore clinical aftereffects of tranexamic acid on postoperative intra-articular hemorrhage after neck arthroscopy. METHODS From February to July 2018, 60 patients with rotator cuff tears treated by neck arthroscopy had been arbitrarily divided in to observance group and control group, 30 instances in each group. In observation team, there were 6 males and 24 females; aged from 55 to 70 yrs old with the average chronilogical age of (62.3±5.5) many years; the courses of condition ranged from 2 to three years with an average of (11.7±1.7) months; gotten 0.5 g tranexamic acid (1 g of tranexamic acid ended up being diluted with regular saline to 20 ml) in each articular cavity and subacromial area after procedure. In control team, there were 5 men and 25 females; aged from 56 to 72 yrs old with a typical of (63.4±5.8) yrs . old; the programs of illness ranged from 4 to 3 years with the average of (10.8±1.4) months; 10 ml of regular saline had been injected into shared hole and subacromial room. Hemoglobin values between two teams before and after procedure at 1 day had been recorded, circumference of neck joint ended up being calculated preoperatively plus the first and 7th days after procedure, and circumference distinction of shoulder joint was taped. Complications such subcutaneous bloodstream stasis and DVT were recorded. OUTCOMES there clearly was no factor in hemoglobin values between two groups pre and post procedure at one day Food biopreservation (P>0.05) . From the first day after surgery, peripheral diameter of shoulder joint in observance group [(32.9±0.3) cm ] ended up being dramatically lower than that in control group [(35.1±0.5) cm ], additionally the circumference difference of shoulder joint in observance group [(8.7±0.4) mm ] has also been significantly less than that in control group [(12.3±0.5) mm ], the real difference had been statistically considerable (P0.05) . CONCLUSION Subacromial and articular shot of tranexamic acid could substantially reduce early swelling of soft tissue after arthroscopic shoulder surgery, and has now better safety.
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