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All fracture healed well 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 reduction occurred. Mazur rearfoot score at year (92.11± 5.28) ratings had been more than 9 months (89.33±5.20) ratings (t=7.976, P less then 0.001) . CONCLUSION Delayed interior fixation through anteromedial and posterolateral approach of rearfoot for Pilon fracture along with fibula fracture features benefits of simple procedure, pleased decrease, stable fixation, less postoperative complications and happy ankle shared purpose.OBJECTIVE To explore changes of inflammatory elements on prognosis of tibia plateau Schatzker Ⅲ fractures treated under arthroscopic or available decrease and internal fixation. METHODS From November 2013 to November 2016, clinical data of 30 patients with tibia plateau Schatzker Ⅲ fractures had been gs-7977 inhibitor retrospectively examined, and split into minimally unpleasant group and control team according to different surgical methods 15 patients in each group. Minimally invasive group had been addressed by arthroscopic interior fixation, including 8 men and 7 females, elderly from 20 to 50 yrs . old with an average of (35.0± 14.6) years of age, the time from problems for operation ranged from 7 to 15 times with a typical of (11.0±4.1) days. Control group were addressed by available reduction and internal fixation, including 7 males and 8 females, elderly from 18 to 48 years of age with the average of (33.0±13.6) years of age, the full time from problems for operation ranged from 6 to week or two with a typical of (10.0±3.4) days.Operation time, period of incision, blom knee function rating at 6 months after procedure. CONCLUSION Arthroscopic surgery and available surgery additionally could obtain good medical results in treating tibia plateau Schatzker Ⅲ cracks. Arthroscopic internal fixation could reduce procedure time, reduce the mount of blooding with minimally unpleasant, lower incident of postoperative problems, quicker data recovery of knee function.OBJECTIVE To compare correlation between preoperative and postoperative Oxford leg ratings and patient satisfaction after unicompartmental knee arthroplasty and also to recognize Oxford leg score threshold for different satisfactions. TECHNIQUES Totally 88 patients with unicompartmental knee arthroplasty had been 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) years old. All clients finished Oxford Knee get Questionnaire and Satisfaction Questionnaire before operation and 6 months after procedure. Correlation between Oxford leg rating and satisfaction ended up being reviewed by Spearman rank correlation test, the satisfaction degree ended up being used since the gold standard, and ROC curves had been drawn to assess the worth of knee score on patient satisfaction before and after procedure. Yoden list were used to explore its ideal limit. RESULTS There was no considerable correlation between preoperative Oxford leg rating and satisfaction before operatiubjective satisfaction after complete leg arthroplasty and unicompartmental knee arthroplasty.OBJECTIVE To explore outcomes of Buyang Huanwu Decoction (, BYHWD) on early callus X-ray evaluation and amount of serum alkaline phosphatase in elderly patients with Colles fracture after handbook reduction and splint outside fixation. TECHNIQUES From October 2016 to October 2018, 60 senior patients with Colles fractures were treated with handbook decrease and splint external fixation and had been split into experimental group and control group. There were 30 clients in control group, including 15 males and 15 females; aged from 56 to 75 years old with an average of (67.81±5.41) years old; bone mineral density was (0.82±0.24) g/cm 2; patients had been carried out lift shoulders, bend and expand elbow joint, stretch five fingers and also make a fist at 3 days after procedure, 3 times daily for 30 days, 30 min once a time. There were 30 customers in experimental group, including 13 men and 17 females; old from 57 to 77 yrs old with a typical of (66.02±5.16) years of age; bone tissue mineral density was (0.76±0.23) g/cm2; patients per; whilst 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 teams at immediately; and had statistically differences between two teams at 14 and 28 days after reduction. There clearly was no significant difference in serum calcium focus between two teams at instantly, 14 and 28 times after decrease. CONCLUSION BYHWD for senior clients with Colles break could market early development of callus, effectively boost focus of serum alkaline phosphatase and promote fracture healing.OBJECTIVE To explore medical ramifications of tranexamic acid on postoperative intra-articular hemorrhage after shoulder arthroscopy. TECHNIQUES From February to July 2018, 60 patients with rotator cuff tears treated by neck arthroscopy had been arbitrarily split into observance team and control group, 30 instances in each group. In observance team, there were 6 males and 24 females; aged from 55 to 70 yrs . old with a typical age of (62.3±5.5) years; the classes of disease ranged from 2 to three years with an average of (11.7±1.7) months; received 0.5 g tranexamic acid (1 g of tranexamic acid had been diluted with regular saline to 20 ml) in each articular cavity and subacromial room after procedure. In charge team, there were 5 males and 25 females; elderly from 56 to 72 years old with the average of (63.4±5.8) yrs . old; the programs of condition ranged from 4 to three years with a typical of (10.8±1.4) months; 10 ml of normal saline was inserted into combined cavity and subacromial space. Hemoglobin values between two groups pre and post procedure at one day had been taped, circumference of shoulder joint had been assessed preoperatively therefore the first and 7th days after operation, and circumference distinction of shoulder joint was recorded. Complications such as subcutaneous bloodstream stasis and DVT were recorded. OUTCOMES There was no significant difference in hemoglobin values between two teams before and after operation at one day (P>0.05) . On the first-day after surgery, peripheral diameter of shoulder joint in observance group [(32.9±0.3) cm ] ended up being significantly lower than that in control team [(35.1±0.5) cm ], while the circumference distinction of shoulder joint in observance group [(8.7±0.4) mm ] has also been substantially lower than that in control group [(12.3±0.5) mm ], the difference was statistically significant (P0.05) . CONCLUSION Subacromial and articular shot of tranexamic acid could notably reduce early swelling of soft structure after arthroscopic shoulder surgery, and it has much better safety.
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