Management of hemodynamically unstable pelvic fracture in pregnancy: a case report and review of literature / 中华创伤杂志(英文版)

We present an unusual case of an unstable pelvic fracture during pregnancy period, who suffered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considering potential causes of fetal death, direct trauma to the uterus, placenta, or fetus was not associated with a higher fetal mortality rate, compared with maternal hemorrhage. A cesarean section and splenectomy could rescue the maternal life from the hemorrhage situation. Successful treatment of these rare cases is possible with careful pre-, peri-, and post-operative evaluation of the mother and fetus by a multidisciplinary team.

Operative treatment of the scapular fractures through modified Judet approach / 中华外科杂志

<p><b>OBJECTIVE</b>To investigate the effect of operative treatment of scapular fractures through modified Judet approach.</p><p><b>METHODS</b>From January 1997 to October 2005, 21 patients (15 females, 6 males; mean age 34 years) of scapular fractures were treated by open reduction and internal fixation through the modified Judet approach. According to Hardegger classification system, there were 11 patients of scapular body fractures, 10 patients of scapular neck fractures, 8 patients of glenoid rim fractures, 7 patients of glenoid fossa fractures, 9 patients of scapular spine fractures, and 6 patients of scapular acromion fractures.</p><p><b>RESULTS</b>Eighteen patients were followed up with an average of 21 months (range 6 months-4 years). According to Rowe scores system, 12 patients showed excellent, 3 showed good, 2 showed fair, and 1 showed poor.</p><p><b>CONCLUSIONS</b>The modified Judet approaches have the advantages of wide exploration, safety, and easy fixation. It is a good choice to the operation for most types of scapular fractures through the modified Judet approach.</p>

The diagnosis and treatment of severe cerebral fat embolism / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To improve the diagnosis and treatment of severe cerebral fat embolism (SCFE).</p><p><b>METHODS</b>The data of nine patients with SCFE were retrospectively analyzed. The manifestations of the central nerve system, respiratory system and hemorrhage were recorded, at the same time, accessory examination including arterial oxygen, fat macroglobules in venous blood and image examination was adapted. The patients were treated with exopexy, pharmocotherapy and oxygentherapy.</p><p><b>RESULTS</b>Two of the nine patients died of severe complications, the other seven recovered without severe sequela.</p><p><b>CONCLUSIONS</b>Gurd standard should be improved for early diagnosis of SCFE. If svere complications can be prevented, patients who receive early treatment will have favourable prognosis.</p>