Lu C.,Chongqing Medical University |
Tian G.,Jishuitan Hospital
Biomedical Research (India) | Year: 2017
Objective: To report defection of phalanx under the reconstructed pulleys with Bunnell’s technique. Methods: We followed up 26 reconstructed annular pulleys in 23 digits of 18 cases for 20 months and analysed the X-ray results of those phalanges. The function of pulley reconstruction was observed. The joint flexion and extension movement of the finger joint was recorded. Results: All the reconstructed pulleys were healed. The efficacy was good. No bowstringing sign was found. The defections of phalanx were found in the areas of reconstructed pulleys in all cases. Narrowing of medullary cavities, osteophyte formation and thinning of cortex of phalanges were found in some cases with X-ray examination. The joint flexion and extension movement of the finger joint has improved. Conclusion: Defection of phalanges will be found after Bunnell’s pulley reconstruction. It could be caused by pulley’s pressure which is converted from the traction load of the flexor tendon. Prognostic Studies, Level IV. © 2017, Scientific Publishers of India. All rights reserved.
Song X.,Coal general Hospital |
Liu C.-C.,Coal general Hospital |
Hong Y.-R.,Coal general Hospital |
Zhu X.-C.,Jishuitan Hospital
Bangladesh Journal of Pharmacology | Year: 2015
The objective of this study was to determine the anticancer and apoptotic effects of a novel oleanolic acid methyl vanillate derivative in human cervical cancer cells (HeLa). We also evaluated effect of the compound on reactive oxygen species (ROS) generation. MTT and LDH assay were used to evaluate the effect of this compound on HeLa cancer cell cytotoxicity. Confocal microscopy and flow cytometry evaluated the effect on apoptosis induction, while as ROS production was detected by using fluorescent CM-DCFH2-DA. The compound induced potent cytotoxic effects in HeLa cells in a dosedependent as well as time-dependent manner. The compound also induced characteristic morphological changes indicative of apoptosis. The compound induced both early and late apoptosis in a concentration-dependent and timedependent manner. The compound led to a significant and concentration dependent increase in the ROS production as the concentration of oleanolic acid methyl vanillate derivative was increased from 0 to 15, 60 and 120 μM. © 2015, Bangladesh Pharmacological Society. All rights reserved.
Shi X.,CAS Institute of Chemistry |
Jiang J.,Jishuitan Hospital |
Sun L.,Jishuitan Hospital |
Gan Z.,CAS Institute of Chemistry
Colloids and Surfaces B: Biointerfaces | Year: 2011
Poly(lactic acid) (PLA) microspheres have great potential in bone tissue engineering. However, their applications have been limited by surface and bulk properties such as hydrophobicity, lack of cell recognition sites and acidic degradation products. Apatite is a mineral which can effectively promote the adhesion and growth of bone cells. In this study, the bonelike mineral, carbonate apatite, was successfully used to functionalize porous PLA microspheres by a biomimetic mineralization method. To improve apatite formation, porous PLA microspheres were first selectively hydrolyzed in NaOH solution to increase the density of polar anionic groups on the surface, and then immersed in simulated body fluid for biomineralization. The morphology, composition, and phase structure of bioactive mineral grown on the original and hydrolyzed PLA microspheres were analyzed and compared quantitatively. The results showed that the hydrolysis which took place on the PLA microspheres enhanced the nucleation and growth of apatite. MG-63 cells attached well and spread actively on the mineralized PLA microspheres, indicating their strong potential in bone tissue engineering. © 2010 Elsevier B.V.
Shi X.,CAS Institute of Chemistry |
Sun L.,Jishuitan Hospital |
Gan Z.,CAS Institute of Chemistry
Acta Polymerica Sinica | Year: 2011
Porous polylactide (PLA) microspheres were prepared by means of the modified double emulsion solvent evaporation. The organic solvents with different boiling points and aqueous solubility were used to prepare PLA microspheres with different porous structures. Microspheres prepared with methylene chloride, chloroform and toluene as solvents had the similar homogeneous porous structure, while those microspheres with ethyl acetate as solvent showed a hollow structure with a porous thin shell. The effects of solvent types on porous structure of microspheres were discussed. It was concluded that the removal rate of solvent plays the decisive role in determining the porous structure of microspheres. Accordingly, a formation mechanism of porous microspheres fabricated with different solvents was proposed.
Yi J.,Jishuitan Hospital
Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences | Year: 2010
To determine the most suitable concentration of ropivacaine on sciatic nerve blocks with stimulating catheters. Sixty adult patients undergoing surgeries involving the foot and ankle were randomly divided into 3 groups (n=20): The patients in group A were given 0.1% ropivacaine, the patients in groups B and C received 0.125% and 0.15% ropivacaine respectively. We combined ultrasound and nerve stimulators for popliteal sciatic nerve blocks, and then placed stimulating catheters for postoperative analgesia. VAS and adverse effects were monitored 6 h, 12 h, 24 h and 48 h after surgery. The difference of VAS was of significance in statistics 6 h and 12 h postoperation. VAS in Group A at postoperative 6 h and 12 h was significantly higher than that in Groups B and C(P<0.05). The incidence of motor disturbance and limbs numbness in Group C was significantly higher than that in Groups A and B (P<0.05). There was no significant difference in the satisfaction of the three groups (P>0.05). The most suitable concentration of ropivacaine on sciatic nerve blocks with stimulating catheters is 0.125%.
Lu Y.,Jishuitan Hospital
Zhonghua yi xue za zhi | Year: 2011
To evaluate the combined tenodesis for long head of bicep tendon lesion with massive rotator cuff tear. From January 2004 to June 2009, 41 patients of long head of bicep tendon lesion with massive rotator cuff tear were treated by arthroscopy. The follow-up period was over 12 months. There were 19 males and 22 females with an average age of 57 ± 11 year old. All patients were treated by arthroscopy with double row technique for rotator cuff tear repair and tenodesis for lesions of long head of bicep tendon. It combined the long head of bicep tendon with anterior edge of rotator cuff. The mean visual analogue scale (VAS) was 5.1 ± 23, the range of forward flexion (100 ± 55)°, external rotation (27 ± 24)° and internal rotation up to T(12) (T(5)-S(1)) level pre-operation on average. The Constant-Merly score was 50 ± 23, the University of California at Los Angeles (UCLA) score 14 ± 6 and the simple shoulder test (SST) score 4.0 ± 2.7 pre-operation on average. The strength of flexed elevation was (17 ± 20)% and strength of elbow flexion (101 ± 16)% versus the other side. All patients healed without any complication. Their outcomes improved significantly (P < 0.01). The mean VAS score improved to 1.5 ± 1.8, forward flexion (155 ± 21)°, external rotation (37 ± 24)° and post-operative internal rotation up to T(10) (T(4)-L(3)) on average. The mean Constant improved to 87 ± 13, mean UCLA 29 ± 5 and mean SST 9.3 ± 2.4. The strength of flexed elevation recovered to (68 ± 21)% post-operation. Significant differences were found in range of motion, VAS, strength and functional score (P < 0.01). No difference was observed for Mayo elbow performance score (MEPS) and elbow flexion strength at pre-operation versus post-operation. The combined tenodesis with double row rotator cuff repair is an effective approach for treating lesion of long head of bicep tendon with massive rotator cuff tear.
Zhang G.Z.,Jishuitan Hospital
Zhongguo gu shang = China journal of orthopaedics and traumatology | Year: 2012
To explore clinical effects of three nonparallel screws in treating femoral neck fractures. From September 2008 and May 2009, 29 patients were treated, including 12 males and 17 females with an average age of 52 years (ranged from 27 to 62 years). Before operation, according to Garden classification system, 2 cases were Garden type II (undisplaced fracture), 18 cases were Garden type III (partial displaced fracture) and 9 cases were Garden type IV (complete displaced fracture). After fracture reduction in operation, Pauwels classification system was used to classify the type, and 12 cases were type II, 17 cases were type III Closed reduction and internal fixation with three non-parallel screws were used to treat. The surgery X-ray and follow-up X-ray were compared to observe whether femoral neck abbreviate and screw exit appeare. Harris scoring was used to evaluate function. All patients were followed-up from 34 to 44 months with an average of 38 months. The mean time of bone union was 7 (ranged, 3 to 12) months. Nonunion occured in 4 cases with Garden IV, and femoral head necrosis occurred in 2 cases. For Harris scoring, two cases with nondisplaced fracture were 100. Among 27 cases with displaced fractures, 23 cases achieved bone union without femoral head necrosis, average Harris scale was 91.35 +/- 8.00, and the average Harris scale of 4 cases with bone nonunion was 61.23 +/- 5.12. For all but one, there was no femoral neck crispation after bone union. Nonparallel screws for femoral neck fractures can effectively control abbreviation and screw tail exit after fracture healing.
Zhang J.,Jishuitan Hospital
Zhongguo gu shang = China journal of orthopaedics and traumatology | Year: 2013
To evaluate the effect and complication of surgical treatment for Pilon fracture using the posterolateral approach. From August 2009 to March 2011, 15 patients with Pilon fractures (2 in B3,13 in C) and with a separate displaced posterior malleolar fragment was treated in two-stage: the first stage management was on stabiliztion of the soft tissue envelope with temporary external fixator of spanning arthritis, and the second stage management was open reduction and internal fixation with posterolateral approach and anteromedial or anteralateral approach. All patients were followed-up for 12 to 17 months (14.2 months in average). Thirteen of the 15 fractures healed, but 2 fractures needed autologous bone graft procedure duo to nonuion. There was no wound complication related to poterolateral incion. Fourteen fractures had less than 2 mm of incongruity of distal tibia joint. According to Baired-Jackson criteria, the results were excellent in 2 cases, good in 7, fair in 4, and poor in 2. The posterolateral approach offers direct visualization for the reduction and fixation of the fibula and posterior distal fragment of the tibia Pilon fractures, faciliate the management of this difficult fracture pattern.
Chen H.-L.,Jishuitan Hospital |
Deng L.-L.,Jishuitan Hospital |
Li J.-F.,Jishuitan Hospital
International Journal of Endocrinology | Year: 2013
This study investigated the prevalence of osteoporosis and its associated factors in old men with T2DM to identify risk factors for low BMD. We enrolled 93 old men (≥60 years of age) with T2DM and 125 healthy old men (controls) and collected data of their lifestyle, medical history, bone densitometry, body weight, height, and blood pressure. Blood samples were collected for biochemical analyses. Urine samples were collected to determine 24 h urinary creatinine, albumin, and protein. Although no differences in age, blood pressure, waist-to-hip ratio, body mass index (BMI), and testosterone levels were observed, the prevalence of low BMD was significantly higher in the T2DM group compared to the control group. The risk of developing low BMD and fracture in T2DM subjects was increased by 46- and 26-fold, respectively, compared to control subjects. BMD of total spine and hip was positively correlated with BMI and negatively correlated with age, duration of diabetes, creatinine, and 24 h urinary albumin. So old men with T2DM have a greater risk of developing low BMD than old men without T2DM. © 2013 Hai-ling Chen et al.
Guo Y.,Jishuitan Hospital |
Tian G.L.,Jishuitan Hospital |
Chen S.,Jishuitan Hospital |
Tapia C.,California Hospital Medical Center
International Orthopaedics | Year: 2014
Purpose: Scaphoid fractures are commonly fixed with headless cannulated screws positioned centrally in the scaphoid. Judgement of central placement of the screw may be difficult. We generated a central zone using computer analysis of 3D reconstructions of computed tomography (CT) images. As long as the screw axis is completely contained within this central zone, the screw would be considered as centrally placed. Methods: Thirty cases of 3D CT reconstructions of normal scaphoids in a computerised operation planning and simulation system (Vxwork software) were obtained. The central zone was established after some distance shrinkage of the original scaphoid surface reconstruction model using the function "erode" in the software. The shape of the central zone was evaluated, and the width of the central zone in the proximal pole, waist portion and distal pole was measured. We also established the long axis of the scaphoid to see whether it stays in the central zone. Results: All central zones could be divided into distal, waist and proximal portions according to the corresponding irregular shape of the scaphoid. As the geometry of the central zone was so irregular and its width very narrow, it was possible to completely contain the screw axis either in the proximal portion alone, waist alone or distal central zone alone. Conclusions: Establishing the central zone of scaphoid 3D CT images provided a baseline for discussion of central placement of a scaphoid screw. The geometry of the scaphoid central zone determined that the screw could hardly be inserted through entire scaphoid central area during surgery. © 2013 Springer-Verlag Berlin Heidelberg.