Autologous bone marrow transfusion to treat the tibia diaphyseal nonunions

Background: Bone marrow stem cells with their plasticity can be used to replace and repair the other damaged organs and tissues, so they can also be used to obtain bone healing of nonunions. Objective: to evaluate the results of percutaneous autologous bone marrow grafting to treat the tibia diaphyseal nonunions. Subjects and methods: 12 patients with noninfected nonunion of the tibia were diagnosed and treated in Viet Duc Hospital. About 250mL of marrow was aspirated, then separated and concentrated by density gradient centrifugation. The final mononuclear cell mass containing stem cells and progenitors was washed in 30ml of 0.9% NaCL and then injected into the damaged sites. Patients were evaluated by clinical and X-rays examinations with at least 6 months follow-up. Results: None of the patients had post - op complications. Bone union was obtained in eleven of the twelve patients (91,7%) at an average of 15,3 weeks (range, 9 - 30 weeks), the bone marrow grafts used for these patients who had bone union contained a mean of 5,65 \xb1 3,74 x 106 (0,95 - 11,73 x 106) CD34(+) stem cells in total. Conclusions: Percutaneous autologous bone - marrow grafting is a minimally invasive alternative and a simple, effective, safe method for the treatment of the tibia diaphyseal nonunions with the comparative bone healing rate. \r\n', u'\r\n', u'

Some applications of modern techniques in the traumatology and orthopedy

The development of traumatology and orthopedic profession based on the advancements of modern equipment of imaging diagnosis. The microsurgery has been applied and gave many good outcomes. The laparoscopic articular surgery can diagnose and reconstruct and regenerate many intraarticular lesions that not require the articular open. The expanded and stretched bone filling and compression can reconstruct the major bone defect without bone transplantation. The close bone filling helped easy and rapid healing and had less risk of infection

Some remarks on macroscopic and microscopic pathoanatomical osteochondral changes of the femoral head

This recommendation is made from 55 femoral heads in 50 total hip reconstructive patients to judge macroscopic and microscopic pathoantomical osteochondral changes of the femoral head. When a hip arthrosis has been presented on clinical symptoms as permanent pain, limiting motion of the joint such as of lasting force, pathoanatomical changes may be showed clearly and internal treatment could only hinder the progress of disease. The most useful treatment of choice for end stages of the hip arthrosis is hip replacement.

Using Eden-Hybinette-Lange's technique to treat the sequelae of recurrent luxation of the shoulder

17 cases of sequelae from recurrent luxations of shoulder were treated surgically by Eden-Hybinette-Lange's technique. Long term results were considered very good on 13/17 cases maintaining 28.9 months in average.

Evaluation of operation of total hip replacement

During 1994-2001, there were 73 patients (47 males) received operations of total hip replacement in the Central Military Hospital 108. The outcomes were best and good (85%), quite (8.2%), normal (3.4%) and poor (3.4%). The operation contributed to improve the quality of patient's life by pain relief, hip joint rehabilitation and recovery of working and accommodation

Microsurgery - advanced development in surgery

The microsurgery, nowadays has been becoming an important technique of the modern surgical professional branch of the country. Thanks to the microsurgery, many patients with complicated injuries and sequelas treated by modern techniques with the high efficacy. The microsurgery shorten the duration of the treatment and reconstructed the functions and plastic form optimally

Sport injury in school age

Sport related injuries in teenagers can be seen in most organs in the body, but injuries of extremities are most common. The skeletal system of children has not completely matured and varied over age groups, so the histopathological features of injuries are multiple. More efforts are needed to reduce injuries in general and in school students in particular.

Repair of cross ligament of knee joint by knee tendons and endoscopy

36 cases with lesion of anterior cross ligaments of knee joint received laparoscopic reconstruction by knee tendons. The results after follow up 19 months have found good (32) and normal (4). The laparoscopic reconstruction of cross ligaments of knee joint in combining with the rehabilitation by physiotherapy gave better outcomes for joint function when comparing with the open operation