简介：

简介：

简介：INTRODUCTIONThecommonconstructionmethodoftissueengineeredarticularcartilageistoisolateandculturechondrocytes,transplantthemintothedegradablescaffoldmaterials,thentorepairthedefectofarticularcartilage.Wedesignedthisexperimenttoinvestigatethefeasibilityoftissueengineeredarticularcartilageconstructedbythetechniqueofcentrifugetubeculturewithoutscaffoldmaterials.

简介：Thewriterhastreated30casesoftemporomandibulararticulardysfunctionsyn-dromewithonlyauricularpressingtherapy.Themethod:AseedofvaccariasegetalisisusedtotapetheAntitraticApexpointandtheShenmenpointofear,thenthepractitionerpressestheseedwithhandtoproducesensations,suchasdistension,numbness,heat,andalittlesweatingetc..Exchangtwosidesoftheearsalternatively.Thetreatmentisperformedonceeverytwoorthreedaysandthreetimesareconstitutedonecourse.Inoneorthreecourseswecanobtainthetherapeuticeffectivenessas50%cured,43%improvedand6.7%failed.

简介：spinalmotionpivot,spinalmanipulation,theangleoffacetjoint,forcedirection,cylinderpivotmotiontheoryThespinaljointconsistsofadiscandposteriorfacetjoints.Itisthebiomechanicalstructurethatenablesthespinewithsix(6)freedomsofmovementsofflexion/extension,sidebendsandrotations.Weidentifiedthatthesamespinaljointsinitiate,eliminateandcontrolspinalmovement.Thesefourjointsaretheatlanto-occipitalandtheatlanto-odontoidjoints,C7/T1,T12/L1andL5/S1.Theword“pivot”iscommonlyusedtodescribeanimportantruruingporintormatterinChineselanguage.Wedefinetheabovefourjointsas“pivots”inthisarticle.Thejointsarebriefedas“Occipital-vertebralpivot”(atlanto-occipitalandatlanto-odontoidjoint),“cervicalthoracicpivot”(C7/T1),“thoracic-lumbarpivot”(T12/L1)and“lumbar-sacrumpivot”(L5/S1).Aftermeasuring20humanspinalcolumns(drybones),observingtheanglebetweenthevertebralbodyandtheinferiorarticularfaeet,reviewingthespinalanatomyandbiomechanicsandanalyzingtheChinesespinalmanipulationtechniquesandtheory,thefollowingisourreport:

简介：AbstractPurpose:To assess the clinical efficacy of converting partial articular supraspinatus tendon avulsion (PASTA) lesions to full-thickness tears through a small local incision of the bursal-side supraspinatus tendon followed by repair.Methods:We retrospectively analyzed 41 patients with Ellman grade 3 PASTA lesions and an average age of (54.7 ± 11.4) years from March 2013 to July 2017. Patients without regular conservative treatment and concomitant with other shoulder pathologies or previous shoulder surgery were excluded from the study. The tears were confirmed via arthroscopy, and a polydioxanone suture was placed to indicate the position of each tear. A small incision of approximately 6 mm was made using a plasma scalpel on the bursal-side supraspinatus tendon around the positioned suture to convert the partial tear into a full-thickness tear. The torn rotator cuff was sutured through the full thickness using a suture passer after inserting a 4.5-mm double-loaded suture anchor. Data were analyzed using a paired Student’s t-test with statistical significance defined as p <0.05.Results:At the final follow-up of 2 years, the pain-free shoulder joint range of motion and visual analog scale score were significantly improved compared to those before surgery (p < 0.001). The postoperative American Shoulder and Elbow Surgeons shoulder score was (90.6 ± 6.2), which was significantly higher than the preoperative score of (47.9 ± 8.3) (p < 0.001). The University of California at Los Angeles shoulder rating scale score increased from (14.7 ± 4.1) prior to surgery to (32.6 ± 3.4) points after surgery (p < 0.001). No patient had joint stiffness.Conclusion:This modified tear completion repair, by conversion to full-thickness tears through a small incision, has less damage to the supraspinatus tendon on the side of the bursa compared to traditional tear completion repair in the treatment of PASTA lesions. This surgical method is a simple and effective treatment that can effectively alleviate pain and improve shoulder joint function.

简介：AbstractPurpose:Treatment of distal tibia fractures poses significant challenge to orthopedic surgeon because of poor blood supply and paucity of soft tissue coverage. There is considerable controversy regarding the superior option of treatment for distal tibia fracture between the minimally invasive percutaneous plate osteosynthesis (MIPPO) technique and intramedullary interlocking (IMIL) nailing for extra-articular distal tibia fractures. The aim of our study is to compare the functional outcome between the two treatment methods.Methods:This was the prospective comparative study of 100 patients with distal third tibia fractures divided into two groups. The first group of patients were treated with MIPPO technique while the second group of patients were managed by IMIL nailing. Patients were followed up in outpatient department to assess the functional outcomes, malunion, delayed union, nonunion, superficial and deep infection between the two groups. Statistical analyses were performed using the SPSS software (version 16.0).Results:Average malunion (degrees) in the MIPPO group was 5 (3—7) ± 1.41 vs. 10.22 (8—14) ± 2.04 in the IMIL group (p= 0.001). Similarly postoperative knee pain in the IMIL group was 10% vs. 2% in the MIPPO group (p= 0.001). In terms of superficial infection and nonunion, the results were 8% vs. 4% and 2% vs. 6% for the MIPPO and IMIL group, respectively (p= 0.001).Conclusion:Both procedures have shown the reliable method of fixation for distal extra-articular tibia fractures preserving the soft tissue, bony vascularity and fracture hematoma that provide a favourable biological environment for fracture healing. Considering the results of the study, we have slightly more preference for the MIPPO technique.