Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Oct 2019
[The measurement and clinical significance of the rotation angles of head-neck fragments after cephalomedullary nail fixation in intertrochanteric fractures].
To measure the rotation angle of the head-neck fragment of intertrochanteric fracture after cephalomedullary nail fixation by three-dimensional CT imaging, and to explore its clinical significance. ⋯ In the unstable intertrochanteric fracture after cephalomedullary nail fixation, the rotation of head-neck fragment exists in most patients, and the types of flexion rotation and non-rotation can easily obtain cortical support reduction.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Oct 2019
[The migration of helical blade and the tip apex distance value in cephalomedullary nail for geriatric intertrochanteric fractures].
To investigate the association between the tip apex distance (TAD) and migration of helical blade in the femoral head of geriatric intertrochanteric fractures. ⋯ Reducing the TAD value of helical blade appropriately (15-20 mm) in PFNA internal fixation for intertrochanteric fracture patients over 80 years old can increase initial stability without increasing the risk of helical blade migration.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Oct 2019
[Clinical application of multidisciplinary team co-management in geriatric hip fractures].
To observe the clinical application of multidisciplinary team (MDT) treatment in the management of geriatric hip fractures and evaluate its effectiveness. ⋯ MDT model in the management of geriatric hip fractures has been shown to reduce time to surgery, postoperative hospitalization stay, length of hospitalization stay, operation time, and the proportion of patients who received ICU consultation or transferred into ICU. Furthermore, MDT can improve the capacity for developing operations for patients with complex medical conditions and make medical resources used more rationally.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Oct 2019
[Research progress in surgical procedures for osteochondral lesions of talus].
To summarize the research progress of surgical procedures in osteochondral lesions of the talus (OLT). ⋯ There are still many difficulties and controversies in the treatment of OLT, and there is no unified treatment plan. It is suggested that individualized operation plan should be formulated according to the specific conditions of patients.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Oct 2019
[Failure analysis of proximal femoral nail antirotation in treatment of geriatric intertrochanteric fractures].
To analyze the failure factors of proximal femoral nail antirotation (PFNA) in the treatment of geriatric intertrochanteric fractures. ⋯ The types of intertrochanteric fractures (especially unstable fractures), the integrity of the proximal lateral wall of femur, and the defect of the posteromedial cortex are the internal risk factors for the success or failure of PFNA in the treatment of geriatric intertrochanteric fractures. The effective protection of the lateral wall during operation and the good quality of fracture reduction are the external factors that must be paid attention to.