Zhongguo gu shang = China journal of orthopaedics and traumatology
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Comparative Study
[Management of displaced radial neck fractures in children: elastic stable intramedullary nailing vs K-wire fixation].
To compare the complications and clinical outcome of titanium elastic nail(TEN) versus K-wire fixation(KW) for the treatment of displaced radial neck fractures in children. ⋯ There is no significant difference of therapeutic effects between TEN and KW for children with displaced radial neck fractures. Because the removal of TEN fixation requires the secondary anesthesia, and the TEN costs significantly more than KW, TEN still can't replace the traditional KW for the treatment of radial neck fracture in children.
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To explore the early clinical efficacy of a posteromedial inverted "L" shape approach combined an assisted antero lateral assisted approach for the treatment of complex fractures of tibial plateau. ⋯ The posteromedial inverted "L" shape approach combined assisted anterior lateral approach for the treatment of complex fractures of tibial plateau can expose the operation area, repair the fracture under the direct vision, and implant a full amount of bone graft for the collapse of the platform.Thus, the smoothness of the articular surface is restored, and the fixation is firm, which is beneficial to the early functional exercise, less complications, and satisfactory clinical curative effects.
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To investigate clinical effect of intercondylar fossa screw with plate fixation in treating Letenneur type III Hoffa fractures. ⋯ Intercondylar fossa screw with plate fixation is a safe and effective way for Letenneur type III Hoffa fractures, which could improve stability of fracture, promote fracture healing, benefit for early exercise, and further improve knee function.
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To explore clinical outcomes of director for sustentaculum tali screwing for fixing sustentaculum tali of calcaneus. ⋯ Fixation of sustentaculum tali of calcaneus aided by director for sustentaculum tali screwing, has advantages of less operative time, fluoroscopy times, incidence of complications and good recovery of function, which could provide a new aiding method for treating intra-articular calcaneal fractures.
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To compare clinical effect of closed reduction and limited open reduction and internal fixation with InterTan intramedullary nail in treating elderly patients with coronal femoral intertrochanteric fracture. ⋯ Closed reduction and limited open reduction with InterTan intramedullary nail internal fixation for the treatment of intertrochanteric femoral coronal fractures could achieve good clinical effects, the former to receive more radiation dose, with less trauma;while the latter has disadvantages of long blood bleeding and operative time, but could obtain high quality of reduction.