Qingdao Municipal Hospital Eastern Area

Qingdao, China

Qingdao Municipal Hospital Eastern Area

Qingdao, China
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Zhang Q.-L.,Qingdao Municipal Hospital Eastern Area | Wang J.,Laiyang City Central Hospital | Lin Y.,Qingdao Municipal Hospital Eastern Area
Chinese Journal of Tissue Engineering Research | Year: 2013

BACKGROUND: In recent years, the technique of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures is gradually developed, but there is a controversy of the clinical effectiveness of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures with different fracture periods. OBJECTIVE: To compare the effectiveness of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures with different fracture periods METHODS: A retrospective study was conducted to review 91 cases receiving percutaneous vertebroplasty on 127 vertebral compression fractures. The patients were divided into three groups according to the time from fracture or pain occurrence to surgery: < 3 weeks group, 3 weeks-6 months group, ≥ 6 months group. The visual analogue scale, the Activity of Daily Living Scale and the height of vertebras were recorded and analyzed in the three groups. RESULTS AND CONCLUSION: (1) Pain was relieved significantly in the three groups with time going (P < 0.01). The pain relief was superior in the < 3 weeks group and 3 weeks-6 months group as compared with ≥ 6 months group (P < 0.01), but there was no difference between the former two groups. (2) Scores on the Activity of Daily Living Scale were all increased in the three groups after treatment, and gradually increased with time going (P < 0.01). The scores in the three groups were ranked from top to bottom as follows: < 3 weeks group, 3 weeks-6 months group, and ≥ 6 months group (P < 0.01). (3) No difference in anterior and middle vertebral height was found among the three groups before treatment. At 3 days after treatment, the anterior and middle vertebral height was arranged from top to bottom as follows: 3 weeks group, 3 weeks-6 months group, and ≥ 6 months group (P < 0.01). There was no difference in the posterior vertebral height among three groups prior to treatment and at 3 days after treatment. Results show that the clinical effectiveness of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures more than 6 months is worse.


Wang J.,Qingdao University | Li Y.,Qingdao Municipal Hospital Eastern Area | Yu T.-B.,Qingdao University | Zhang Q.-L.,Qingdao Municipal Hospital Eastern Area
Chinese Journal of Tissue Engineering Research | Year: 2015

Background: In recent years, the number of cases of anterior cruciate ligament reconstruction with remnant preservation is increased year by year, but its clinical results, especially effects on improving proprioceptive recovery after reconstruction, are still controversial. Objective: To compare the clinical effects of arthroscopic anterior cruciate ligament reconstruction with or without remnant preservation. Methods: Totally 146 patients undergoing arthroscopic anterior cruciate ligament reconstruction were randomly divided into two groups: preserving-remnant group and removing-remnant group. Autologous hamstring tendons were selected. Evaluation of knee mobility, Lysholm score. IKDC scores and knee stability was performed before and 6, 12 months after reconstruction. Proprioception was recorded before and 3, 6 and 12 months after reconstruction. The comparative analysis was carried out on these data between the group and between affected and healthy limbs. Results And Conclusion: 114 patients were followed up for over 12 months, including 61 in the preserving-remnant group and 53 in the removing-remnant group. There were significantly statistical improvements in knee mobility, Lysholm score. IKDC score and knee stability at 6 and 12 months after reconstruction in the two groups (P > 0.01), and the Lysholm score. IKDC score and knee stability were better in the removing-remnant group than the removing-remnant group at 6 months after reconstruction (P > 0.05). The knee proprioception was significantly improved at 3,6 and 12 months after reconstruction in the two groups (p < 0.01), and it was also better in the removing-remnant group than the removing-remnant group at 3 and 6 months after reconstruction (P > 0.05). These findings indicate that the anterior cruciate ligament reconstruction with remnant preservation is beneficial to the recovery of postoperative proprioception and knee function. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.

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