ABSTRACT
BACKGROUND:With the development of minimal y invasive technique, more and more forearm fracture, especial y in children, was treated by elastic stable intramedul ary nailing. Recently, elastic stable intramedul ary nailing was also used in elder children, even adults. In particular, this technique has obtained good curative effects for open fracture and unstable fracture. OBJECTIVE:To evaluate the clinical effectiveness and safety of elastic intramedul ary nail and plate fixation for double fracture of forearm using evidence-based medicine. METHODS:We retrieved PubMed, Embase, Cochrane Library, China Biology Medicine, VIP, China National Knowledge Infrastructure, WanFang, and other electronic databases. The quality of the included studies was assessed using Cochrane Systematic Review. The analysis was performed using RevMan 5.2 software. RESULTS AND CONCLUSION:A total of 7 randomized control ed trials involving 468 cases were included. The results of meta-analyses showed that compared with plate fixation group, effective rate was higher in the titanium elastic nail group (P<0.000 1), the time of fracture healing was shorter (P<0.000 01), and the hospitalization time was shorter (P<0.000 01). In the aspect of adverse reactions, incidence of refracture (P=0.03) and breakage of internal fixation (P=0.03) was significantly lower. These indicated that compared with plate fixation, titanium elastic nail can improve the total effective rate, shorten the time of fracture healing on X-ray and the hospitalization time, at the same time, can effectively reduce the complications of refracture and breakage of internal fixation.
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OBJECTIVE: To observe the therapeutic efficacy of compressed atomized inhalation of Tanreqing injection for herpangina.METHODS: A total of 137 children with herpangina were enrolled: 69 cases(trial group) received Tanreqing injection 0.5 mL?kg-1?d-1 plus 5 mL normal saline q.d by atomized inhalation for 5 consecutive days,and 68(control group) received penicilin G sodium and ribavirin by iv gtt.The curative efficacy of the two groups was followed.RESULTS: There were significant differences between the trial group and the control group in total effective rate and marked effective rate(85.51 % vs.95.65% for total effective rate and 27.94% vs.66.18% for marked effective rate,P
ABSTRACT
Objective To explore the clinical and radiological findings of skeletal desmoplastic fibromas.Methods Radiographs of six patients with desmoplastic fibromas proved by pathology were retrospectively reviewed.Results Two tumors arose in femur,two in tibia,one in radius and one in humur.In plain radiography,these lesions were always metaphyseal and expansile lytic with a reactive bony rim(n=6).They often had a trabeculated or honeycomb appearance into lesion and four tumors invaded adjacent soft tissue.Conclusion Desmoplastic fibromas of long bones are nearly always metaphyseal.Radiographs disclose a expansile lytic lesion with a sclerotic rim and a trabeculated apperance into it.And the "root hair"sign is fairly characteristic for this tumor.No calcification and periosteal reaction can be seen.