ABSTRACT
AIM: To explore the therapeutic effect of malleolus radialis implantation with vascularized periosteal flap for disunion of carpal navicular fracture, and investigate the characteristics of tissue implantation. METHODS: Thirty-two patients with disunion in carpal navicular fracture were selected from Jiangyin People's Hospital from January 2000 to January 2006, with the informed consents of all the patients. They were treated with implantation of malleolus radialis with vascularized periosteal flap, fixed with plaster cast for 8-10 weeks. Therapeutic effect was evaluated as: ①excellent: normal activity of carpal joints, without soreness sense, fracture line disappeared by X ray;②fine: uncomfortable activity of carpal joints, with slight limitations, fracture line disappeared by X ray. RESULTS: ①All 32 cases of the disunion in carpal navicular fracture were synostosis displayed by X ray.②There were 23 cases followed up for 3-12 months, 7 cases for 13-24 months, and 2 cases for 25-36 months. Carpal joints function achieved the standard of the uninjured side, without pain or affection on daily life.③The therapeutic effect was excellent in 22 cases, fine in 10 cases, and good rate was 100%. CONCLUSION: Implantation of malleolus radialis with vascularized periosteal flap is an effective way to treat the disunion of carpal navicular fracture.
ABSTRACT
To study the characteristic of the metacarpal fracture and the forensic investigation of severity of the injury.52 cases with metacarpal fracture were reviewed.The incidence and the location as well as the patterns of fracture were analyzed.The severity of the fracture were different with different mechanism.
ABSTRACT
Objective In order to explore the quantification of forensic medical determination to the tooth drop by boxing injury, we study the torensic clinical comparison between this kind of injury and periodontopathy, and study the characteristics of this kind of injury. Method Form the peri-odontopathy group by 65 cases of periodontopathy tooth drop by boxing injury and regular group by 65 cases of normal tooth drop by boxing injury, and analyze the data by statistical Chi-square test. Results Comparing to the regular group, the periodontopathy group has outstanding differences on age, the injury of buccal parenchyma, the type and number of tooth dropped, tooth broken and fracture of den to-alveolar. There is inverse ratio between the injury intensity and the determination of injury degree. Conclusion There is misunderstanding on determination of injury degree of periodontopathy tooth drop by boxing injury. It is necessary to use the injury degree of influence when we determine the above-mentioned injury.