Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association
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Chin. J. Traumatol. · Jan 2013
Vascular endothelial growth factor promotes peripheral nerve regeneration after sciatic nerve transection in rat.
To evaluate the local effect of vascular endothelial growth factor (VEGF) on transected sciatic nerve regeneration. ⋯ Local administration of VEGF will improve functional recovery and morphometric indices of sciatic nerve.
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Chin. J. Traumatol. · Jan 2013
Review Case ReportsRare double fracture-dislocation of the thumb: a case report and review of the literature.
Simultaneous fracture/dislocation of the thumb carpometacarpal (CMC) joint and dislocation of the metacarpophalangeal (MCP) joint is considered as a rare injury pattern. We report an unusual case of dorsal dislocation of MCP joint of the thumb associated with extraarticular fracture of the base of the first metacarpal in a 28-year-old man. ⋯ The patient made an uneventful recovery following open reduction and fixation with 1.25 mm Kirschner wire of the MCP joint along with repair of the ulnar collateral ligament. This injury pattern has not been previously reported to the best of our knowledge in the English-language based medical literature.
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Chin. J. Traumatol. · Jan 2013
A two-choice strategy through a medial tibial approach for the treatment of pilon fractures with posterior or anterior fragmentation.
The anterolateral approach to the tibia has been popularized for the management of tibial pilon fractures. For complex fracture patterns a combined anterolateral/anteromedial approach is suitable but a high rate of complication has been reported. In our retrospective study a two-choice strategy adopting a medial tibial approach was proposed for the treatment of pilon fractures with anterior or posterior fragmentation. ⋯ Our two-choice strategy highlights concepts which have been previously debated and described in the literature. But a new extended protocol for surgical approach to the distal tibia, including more fracture patterns and their association should be further investigated.
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Chin. J. Traumatol. · Jan 2013
Comparative StudyManagement of limb fractures in a teaching hospital: comparison between Wenchuan and Yushu earthquakes.
To comparatively analyze the medical records of patients with limb fractures as well as rescue strategy in Wenchuan and Yushu earthquakes so as to provide references for post-earthquake rescue. ⋯ Provision of suitable and sufficient medical care in a catastrophe can only be achieved by construction of sophisticated national disaster medical system, prediction of the injury types and number of injuries, and confirmation of participating hospitals?exact role. Based on the valuable rescue experiences after Wenchuan earthquake, the rescue was faster, more orderly and effective in Yushu earthquake. Nevertheless, there is still a long way to go in the development of a stronger emergent response to the disasters.
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Chin. J. Traumatol. · Jan 2013
Case ReportsPseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture.
Dynamic hip screw fixation is a commonly performed procedure for internal fixation of intertrochanteric femoral fractures. Arterial injury following the operative fixation is a rare but serious event. We present a patient who developed pseudoaneurysm of profunda femoris artery after internal fixation of intertrochanteric fracture with a dynamic hip screw. The diagnosis was confirmed by angiographic study and it was successfully treated by coil embolization.