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 · Jul 2005
[Reconstruction of the unstable pelvic fractures].
To investigate the clinical characteristics of unstable pelvic fractures and to find out an alternative for the treatment. ⋯ The choice of the proper operative approach and pelvic-reconstructed plate fixation by allowing for fracture classification is a good and dependable means for treating unstable pelvic fractures.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Jun 2005
[Clinical application and efficiency of two stage multiple nerves transfer for treatment of root avulsion of brachial plexus].
To investigate the results of two stage multiple nerves transfer for treatment of complete brachial plexus root avulsion. ⋯ Two stage multiple nerves transfer for treatment of root avulsion of brachial plexus can achieve better motor function results and is safe and effective. The procedure should be recommended for treatment of root avulsion of brachial plexus in selected patients with complete brachial plexus root avulsion, especially in young patients with a short interval between injury and repair. It is one of the alternative options.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Jun 2005
[Stress changes of upper lumbar facet joint after discectomy and artificial disc replacement].
To explore the influence of discectomy and artificial disc replacement on the upper lumbar facet joint and to provide the evidence for use of artificial disc replacement. ⋯ The stress of upper lumbar facet joint reduced after discectomy, it implies that simply discectomy may change biomechanics of lumbar and lead to secondary lumbar structure degeneration. The stress of upper lumbar facet joint is close to the normal value after artificial disc replacement, it implies that artificial disc replacement may protect lumbar structure. It provides some biomechanics foundation and evidence for artificial disc replacement.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Feb 2005
Case Reports[Repair of face soft tissue defect with prefabricated neck expander flap with the vessels of temporalis superficialis].
To probe the principle and the method to repair facial soft tissue defect with the prefabricated expander flap the neck with the vessels of temporalis superficialis. ⋯ The prefabricated expander flaps of the neck pedicled with the arteria temporalis superficialis and its ramux parietalis can be transferred to the upper face to repair tissues defect. The supply of blood of the prefabricated expander flaps were safe and reliable. The survived areas of the flaps are directly proportional to the areas of temporalis superficialis fascia combining the expander flaps.
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Sep 2004
Case Reports Comparative Study[A comparative study on two different absorbable intramedullary nails in treating metacarpal and phalanx fractures].
To study the effect of two different absorbable intramedullary nails in treatment of metacarpal and phalanx fractures. ⋯ In the PDLLA group(n = 24), the rejection occurred in 8 cases 3-4 weeks after operation. PDLLA nails were taken out in 6 of the 8 cases after 5-10 days of operation and bone healing was achieved 2 months after re-fixation by Kirschner wire; the rejection subsided in the other 2 cases after 25 days of conservative treatment, and bone fracture healed after 14 weeks. No rejection was observed with primary healing in the other 16 cases of the PDLLA group. In PDLLA + chitosan group(n = 36), the rejection occurred in 1 case 19 days after operation, but the rejection subsided after 3 days of conservative treatment. No rejection was observed in the other 35 cases with primary healing. All patients were followed up 4-11 months with an average of 6 months. No rejection was observed and bone healing was achieved during the follow-up. The time of bone healing was 6-16 weeks (8 weeks on average). There was statistically significant difference in the curative result between two groups(P < 0. 05). Conclusion Intramedullary nail of PDLLA was very suitable to fix fractures of metacarpal and phalanx. During the degradation of PDLLA, the acidic products can cause rejection. When PDLLA mixed with chitosan, PDLLA can not only strengthen the intensity but also neutralize the acidity. So the rejection can be decreased. PDLLA intramedullary nails composed of chitosan were better than PDLLA intramedullary nails in clinical treatment of metacarpal and phalanx fractures.