Application of double joystick technique in reduction-internal fixation for femoral shaft fracture in adults / 中国骨伤

<p><b>OBJECTIVE</b>To study the applied value of double joystick technique in reduction-internal fixation for femoral shaft fracture in adults.</p><p><b>METHODS</b>Thirty-four patients (24 males and 10 females) with femoral shaft fractures were treated with reduction assisted by double joystick technique and internal fixation with interlocking intramedullary nail from September 2010 to June 2013. The average age of the patients was 41 years old, ranged from 17 to 65 years old. The duration of the disease course ranged from 3 to 7 days, with a mean of 5 days. The fractures belonged to AO types 32A (5 cases), 32B (20 cases) and 32C (9 cases) and located in left femur for 18 patients and right femur for 16 patients. The patients were followed up, and fracture healing and complications were observed. The curative effect were evaluated according to Thorsen femur fracture evaluation standard.</p><p><b>RESULTS</b>The operative time ranged from 40 to 110 min (mean 75 min) and intraoperative blood loss ranged from 200 to 300 ml (mean 250 ml). All the patients obtained a good fracture reduction and were followed up for 12 to 24 months (mean 18 months) after the surgery. All the fractures united between 4 and 8 months with a mean of 5 months. No complications such as breakage of nail, infection, osteofascial compartment syndrome, refracture and fracture malunion were found. According to Thorsen femur fracture evaluation standard, 30 patients obtained an excellent result, 3 good and 1 fair.</p><p><b>CONCLUSION</b>In surgery of reduction-internal fixation for femoral shaft fracture in adults, the use of double joystick technique obtains good reduction result, short operative time, less injury, high healing rate of bone fractures, less complications and good limbs function, so it is worthy of popularizing in clinic.</p>

The role of different needling manipulation in adjusting swallow-period obstacle of dysphagia after stroke / 中国针灸

<p><b>OBJECTIVE</b>To observe the effect of different needling manipulation in improvement of swallow-period obstacle of dysphagia after stroke.</p><p><b>METHODS</b>One hundred and eleven cases were randomly divided into a single Lianquan RN 23 shallow needling group (group A ), single Lianquan (RN 23) deep needling group (group A2) and Lianquan (RN 23) and para-Lianquan deep multi-needling group (group B). The therapeutic effect was investigated after continuous treatment for 14 days.</p><p><b>RESULTS</b>The total effective rate was 95. 0% in the group B, 65. 7% in the group A1 and 83. 3% in the group A2, with significant difference or very significant difference when the group B compared with the group A, and the group A, (P<0. 01 or P<0. 05); the cured and markedly effective rate was 82. 5% in the group B, 20. 0% in the group Al and 52. 8% in the group A2, with a very significant difference as the group B compared with the group A, and A2 (both P<O. 01). After treatment for 7 days, there were very significant differences in scores of swallow function as the group B compared with the group A, and A2 (both P<0. 01), indicating that the group B was better than the group A1 and AZ in improvement of sensitivity of swallow dysphagia.</p><p><b>CONCLUSION</b>Deep needling with multi-needles can significantly improve swallow-period obstacle of dysphagia after stroke with higher safety and rapid effect.</p>