Paerhati R.,Xinjiang Medical University |
Yue Y.,Peoples Hospital of the Xinjiang Uygur Autonomous Region |
Sheng W.-B.,Xinjiang Medical University |
Adeli A.,Xinjiang Medical University |
And 3 more authors.
Chinese Journal of Tissue Engineering Research | Year: 2013
Background: Open reduction is generally not advocated for the treatment of children clavicle fracture, because the thick and tough periosteum remains intact and attached by the ligament attachment. In clinic, twin-ring external fixation and simple suspension are commonly used, but there is no reliable basis on which method can get better effect. Objective: To compare the stability of twin-ring external fixation and simple suspension for the treatment of children clavicle fracture. Methods: The patients with children clavicle fracture and treated by twin-ring external fixation and simple suspension were selected from June 2008 to December 2012, including 17 patients treated with simple suspension and 22 patients treated with twin-ring external fixation. The X-ray film examination was performed regularly to observe the fracture healing and shoulder function. Results and Conclusion: The 17 patients treated with simple suspension had good healing; three cases had gap between fracture ends at 1 week after treatment, and re-suspension to increase the height and finally two fracture ends contacted in one case; for the other two cases, there was still gap between fracture ends, and changed for twin-ring external fixation, the fracture ends contacted. All the 22 patients in the twin-ring external fixation group obtained healing; five cases had performance of upper extremity neurovascular compression on the fracture side after fixation; after releasing, three cases had recovery, and two cases were treated with simple suspension, the fracture ends began to contact; six cases had armpit redness; four cases had early sleep difficulties; two cases had gap between fracture ends at 1 week after treatment, and after re-adjust, the fracture ends contacted in two cases. The results showed both two methods could not cause appearance deformity, and both could get healing. The simple suspension fixation is easy to operate with reliable effect, and it is comfortable which make it easy to accept by the children, it has the advantages of early for functional exercise, less tissue damage, does not affect the blood supply; the twin-ring external fixation is easy to compress the axillary arteries and nerves on both sides, thus resulting in upper extremity swelling, numbness and skin redness, and it can cause discomfort night sleeping and poor comfort which is not easy for children to accept. But, no matter what method we take, the review after 1 week, as well as the line between proximal and distal part and the contact between fracture ends is still important.
Yue Y.,Karamay Municipal Peoples Hospital |
Rexiti P.,Xinjiang Medical University |
Wang Q.,Xinjiang Coal Mine Hospital |
Lu J.,Karamay Municipal Peoples Hospital |
And 9 more authors.
Chinese Journal of Tissue Engineering Research | Year: 2014
BACKGROUND: Studies showed that platelet-rich plasma + bone transplantation for repair of bone defects not only can accelerate new bone formation, but also increase bone density. OBJECTIVE: To observe autologous platelet-rich plasma and autologous bone graft for treatment of comminuted fractures, and the efficacy. METHODS: This was a clinical prospective randomized controlled study. A total of 42 patients with limb comminuted fracture and bone defects were enrolled and randomly assigned to two groups. In the experimental group, 20 patients received treatment with autologous platelet-rich plasma and mixture of autologous ilium and cancellous bone. In the control group, 22 patients underwent plate, screw or intramedullary nail fixation. At 1, 3, 6 and 12 months after surgery, X-ray examination was conducted. Healing conditions, healing speed and functional recovery were compared between the experimental and control groups. RESULTS AND CONCLUSION: The time of bone healing was respectively 12 weeks in the experimental group and 18 weeks in the control group on average, showing significant differences. There were two cases of plate breakage, one case of nonunion reoperation, three cases of delayed fracture healing in the control group. No autologous blood transfusion or other complications appeared in the experimental group. Results suggested that autologous platelet-rich plasma and autologous bone graft for comminuted fractures can facilitate and accelerate bone healing. © 2014 Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.
Yue Y.,Karamay Municipal Peoples Hospital |
Abulaiti A.,Xinjiang Medical University |
Yang Y.,Karamay Municipal Peoples Hospital |
Wang W.,Xinjiang Coal Mine Hospital |
And 5 more authors.
Chinese Journal of Tissue Engineering Research | Year: 2015
BACKGROUND: Clinical physicians should pay attention on how to reduce ankle fracture healing wounds, reduce bleeding, improve operating technique, and improve repair effect, especially for comminuted fracture. It is necessary to understand how to develop a detailed plan before repair, observe specific circumstances of the fracture from multiple angles, and establish three-dimensional images using two-dimensional X-ray films or CT scan. These raise a challenge for each physician. OBJECTIVE: To explore the application effect of three-dimensional print, minimally invasive percutaneous screw and locking plate fixation in the repair of ankle fractures. METHODS: A total of 26 cases of fracture of ankle joint were treated from January 2012 to June 2014. There were 9 cases of double ankle fracture, 12 cases of three ankle fractures, and 5 cases of three ankle fractures involved PILON fracture on the lower tibia. They received spiral CT scanning on the ankle joint, and stored in the format of di.com. After processing with minics software, data were converted into STL format, and then input into the three-dimensional printer. Thus, models of ankle joint were made at the ratio of 1:1. The repair scheme was made. After discharge, X-ray films were checked every month to observe the healing condition of fractures. According to Mazur ankle score standard, ankle joint function was assessed. RESULTS AND CONCLUSION: All 26 cases were followed up for 6-12 months. The fractures were healed. The healingtime was 4-6 months, averagely 5.5 months. The healing was good, without vascular and nerve damage, or plate breakage. In accordance with the Mazur ankle score standard, there were excellent in 11 cases, good in 13 cases with an excellent and good rate of 92%. The operation time was (64±15) minutes, and intraoperative blood loss was (100±15) mL. The incision was healed in stage one. These findings confirm that the simulation training and operation in fracture models of three-dimensional print have small injuries to patients with ankle fracture. The bleeding was less, the operation was simple, the healing time was short, and the functional recovery was rapid, especially for comminuted fracture. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.