The clinical efficacy was compared between 3D navigation-assisted percutaneous iliosacral screw(3DPS)and minimally invasive reconstruction plate(MIRP)in treating sacroiliac complex injury and the surgical procedures o...The clinical efficacy was compared between 3D navigation-assisted percutaneous iliosacral screw(3DPS)and minimally invasive reconstruction plate(MIRP)in treating sacroiliac complex injury and the surgical procedures of 3DPS were introduced.A retrospective analysis was performed on 49 patients with sacroiliac complex injury from March 2013 to May 2017.Twenty-one cases were treated by 3DPS,and 28 cases by MIRP.Intraoperative indexes as operative time,blood loss,incision length,length of hospital stay and postoperative complications were respectively documented.Quality of reduction was postoperatively evaluated by Matta radiological criteria,and clinical effect was assessed by Majeed scoring criteria at the last followup.Operative time and hospital stay were significantly shortened,and blood loss,and incision length were significantly reduced in 3DPS group as compared with those in MIRP group(P<0.05).No statistically significant difference was found between 3DPS group and MIRP group in the assessment of reduction and function(P>0.05).It was concluded that both 3DPS and MIRP can effectively treat the sacroiliac complex injury,and 3DPS can provide an accurate,safe and minimally invasive fixation with shorter operative time and hospital stay.展开更多
Objective: to discuss the effect of minimally invasive percutaneous plate internal fixation and its influence on trauma control in the treatment of tibial fractures. Methods: 72 patients with tibial fracture who recei...Objective: to discuss the effect of minimally invasive percutaneous plate internal fixation and its influence on trauma control in the treatment of tibial fractures. Methods: 72 patients with tibial fracture who received surgical treatment in our hospital were divided into two groups by single and double number distribution method. The study group and routine group were treated with minimally invasive percutaneous plate internal fixation and open reduction and internal fixation respectively. The effects, satisfaction, surgical indexes, quality of life, complications and traumatic stress indexes of different groups of patients after different treatment methods were discussed. Results: by observing the effect and satisfaction degree of different groups of patients after different treatments, we know that the total effective rate and satisfaction degree of the patients in the study group were 94.45%, (95.65 ± 1.75) points, while the total effective rate of the patients in the routine group was 72.22%, (76.54 ± 0.65) points, and the data comparison was higher in the study group (P < 0.05);In the investigation of the quality of life of different groups of patients after different treatments, it was found that the quality of life of the patients in the study group was better (P < 0.05);In terms of the operative indexes and traumatic stress indexes of different groups of patients treated in different ways, the improvement effect of the operative indexes and traumatic stress indexes of the selected study group was better than that of the routine group (P < 0.05);Comparing the complications of different groups of patients after different ways of treatment, it shows that the probability of complications in the study group is lower than that in the routine group (P < 0.05). Conclusion: in order to improve the therapeutic effect, satisfaction and quality of life of patients with tibial fracture, reduce the probability of complications, and improve various indexes of operation and traumatic stress, minimally invasive percutaneous plate internal fixation is needed, and its application is very significant.展开更多
The purpose of this study was to observe the clinical efficacy of umbilical cord in the treatment of Jinri capsule and analyze its effect on postoperative injury and bone metabolism. Methods 90 cases of SAP tree fract...The purpose of this study was to observe the clinical efficacy of umbilical cord in the treatment of Jinri capsule and analyze its effect on postoperative injury and bone metabolism. Methods 90 cases of SAP tree fracture were randomly divided into two groups according to 1:1. In the control group, 45 patients were treated with MIPO, and 45 patients were treated with Jintian capsule based on MIPO for 6 weeks. Organic volume content (VOC), bone mass number (TB.n), elastic bone stress (ES) and calcium (BFP) were compared according to bone volume ratio (BV/TV) before and 6 weeks after operation. Six months postoperatively, bone protective function (OPG), tartrate phosphatase (TRAP), K collagen (KTH) and shoulder recovery were observed. Results Within 6 weeks after treatment, bone quality indexes such as TV were significantly lower than those in control group (P<0.05), and bone quality indexes such as VOC and TBC were significantly lower than those in control group (P<0.05). Significantly lower than control group (P<0.05). N was significantly higher than that of control group (P<0.05). The osteogenesis rates of BGP and OPG were higher than those of the control group (P<0.05), and the osteogenesis rates of TRAP and CTX were significantly lower than those of the control group (P<0.05). Were compared between the two groups before and 6 weeks after operation. Six months after surgery, the observation group had better function recovery, and the constant Murley score was significantly higher than that of the control group. Conclusion MIPO combined with Jintiange capsule can significantly improve the function recovery effect of shoulder joint, effectively stabilize bone mass index, promote the formation of bone structure, quickly recover bone metabolism function, and finally achieve fracture healing. It is worthy of clinical application.展开更多
BACKGROUND Intradural anesthesia caused by anesthetic drug leakage during percutaneous vertebroplasty(PVP)has rarely been reported.We here report a 71-year-old woman who suffered this rare and life-threatening complic...BACKGROUND Intradural anesthesia caused by anesthetic drug leakage during percutaneous vertebroplasty(PVP)has rarely been reported.We here report a 71-year-old woman who suffered this rare and life-threatening complication during PVP.CASE SUMMARY A 71-year-old woman,who suffered from 2 wk of severe back pain with a visual analog score of 8,came to our outpatient clinic.She was later diagnosed with a newly compressed L1 fracture and was then admitted in our department.PVP was initially attempted again under local anesthesia.However,serendipitous intradural anesthesia leading to total spinal anesthesia happened.Fortunately,after successful resuscitation of the patient,PVP was safely and smoothly performed.Great pain relief was achieved postoperatively,and she was safely discharged on postoperative day 4.The patient recovered normally at 3-mo follow-up.CONCLUSION Total spinal anesthesia secondary to PVP by anesthetic drug leakage rarely occurs.In cases of inadvertent wrong puncture leading to drug leakage when performing it under local anesthesia,surgeons should be highly vigilant during the whole procedure.Electrocardiogram monitoring,oxygen inhalation,intravenous cannula set prior to surgery,regular checking of motor activity and a meticulous imaging monitoring with slower pushing of anesthetic drugs,etc.should be highly recommended.展开更多
文摘The clinical efficacy was compared between 3D navigation-assisted percutaneous iliosacral screw(3DPS)and minimally invasive reconstruction plate(MIRP)in treating sacroiliac complex injury and the surgical procedures of 3DPS were introduced.A retrospective analysis was performed on 49 patients with sacroiliac complex injury from March 2013 to May 2017.Twenty-one cases were treated by 3DPS,and 28 cases by MIRP.Intraoperative indexes as operative time,blood loss,incision length,length of hospital stay and postoperative complications were respectively documented.Quality of reduction was postoperatively evaluated by Matta radiological criteria,and clinical effect was assessed by Majeed scoring criteria at the last followup.Operative time and hospital stay were significantly shortened,and blood loss,and incision length were significantly reduced in 3DPS group as compared with those in MIRP group(P<0.05).No statistically significant difference was found between 3DPS group and MIRP group in the assessment of reduction and function(P>0.05).It was concluded that both 3DPS and MIRP can effectively treat the sacroiliac complex injury,and 3DPS can provide an accurate,safe and minimally invasive fixation with shorter operative time and hospital stay.
文摘Objective: to discuss the effect of minimally invasive percutaneous plate internal fixation and its influence on trauma control in the treatment of tibial fractures. Methods: 72 patients with tibial fracture who received surgical treatment in our hospital were divided into two groups by single and double number distribution method. The study group and routine group were treated with minimally invasive percutaneous plate internal fixation and open reduction and internal fixation respectively. The effects, satisfaction, surgical indexes, quality of life, complications and traumatic stress indexes of different groups of patients after different treatment methods were discussed. Results: by observing the effect and satisfaction degree of different groups of patients after different treatments, we know that the total effective rate and satisfaction degree of the patients in the study group were 94.45%, (95.65 ± 1.75) points, while the total effective rate of the patients in the routine group was 72.22%, (76.54 ± 0.65) points, and the data comparison was higher in the study group (P < 0.05);In the investigation of the quality of life of different groups of patients after different treatments, it was found that the quality of life of the patients in the study group was better (P < 0.05);In terms of the operative indexes and traumatic stress indexes of different groups of patients treated in different ways, the improvement effect of the operative indexes and traumatic stress indexes of the selected study group was better than that of the routine group (P < 0.05);Comparing the complications of different groups of patients after different ways of treatment, it shows that the probability of complications in the study group is lower than that in the routine group (P < 0.05). Conclusion: in order to improve the therapeutic effect, satisfaction and quality of life of patients with tibial fracture, reduce the probability of complications, and improve various indexes of operation and traumatic stress, minimally invasive percutaneous plate internal fixation is needed, and its application is very significant.
文摘The purpose of this study was to observe the clinical efficacy of umbilical cord in the treatment of Jinri capsule and analyze its effect on postoperative injury and bone metabolism. Methods 90 cases of SAP tree fracture were randomly divided into two groups according to 1:1. In the control group, 45 patients were treated with MIPO, and 45 patients were treated with Jintian capsule based on MIPO for 6 weeks. Organic volume content (VOC), bone mass number (TB.n), elastic bone stress (ES) and calcium (BFP) were compared according to bone volume ratio (BV/TV) before and 6 weeks after operation. Six months postoperatively, bone protective function (OPG), tartrate phosphatase (TRAP), K collagen (KTH) and shoulder recovery were observed. Results Within 6 weeks after treatment, bone quality indexes such as TV were significantly lower than those in control group (P<0.05), and bone quality indexes such as VOC and TBC were significantly lower than those in control group (P<0.05). Significantly lower than control group (P<0.05). N was significantly higher than that of control group (P<0.05). The osteogenesis rates of BGP and OPG were higher than those of the control group (P<0.05), and the osteogenesis rates of TRAP and CTX were significantly lower than those of the control group (P<0.05). Were compared between the two groups before and 6 weeks after operation. Six months after surgery, the observation group had better function recovery, and the constant Murley score was significantly higher than that of the control group. Conclusion MIPO combined with Jintiange capsule can significantly improve the function recovery effect of shoulder joint, effectively stabilize bone mass index, promote the formation of bone structure, quickly recover bone metabolism function, and finally achieve fracture healing. It is worthy of clinical application.
文摘BACKGROUND Intradural anesthesia caused by anesthetic drug leakage during percutaneous vertebroplasty(PVP)has rarely been reported.We here report a 71-year-old woman who suffered this rare and life-threatening complication during PVP.CASE SUMMARY A 71-year-old woman,who suffered from 2 wk of severe back pain with a visual analog score of 8,came to our outpatient clinic.She was later diagnosed with a newly compressed L1 fracture and was then admitted in our department.PVP was initially attempted again under local anesthesia.However,serendipitous intradural anesthesia leading to total spinal anesthesia happened.Fortunately,after successful resuscitation of the patient,PVP was safely and smoothly performed.Great pain relief was achieved postoperatively,and she was safely discharged on postoperative day 4.The patient recovered normally at 3-mo follow-up.CONCLUSION Total spinal anesthesia secondary to PVP by anesthetic drug leakage rarely occurs.In cases of inadvertent wrong puncture leading to drug leakage when performing it under local anesthesia,surgeons should be highly vigilant during the whole procedure.Electrocardiogram monitoring,oxygen inhalation,intravenous cannula set prior to surgery,regular checking of motor activity and a meticulous imaging monitoring with slower pushing of anesthetic drugs,etc.should be highly recommended.
